| Mitra Shahryary Lcsw, Inc | |
|
9330 Campbell Rd Vienna VA 22182-2036 | |
| (202) 750-1138 | |
| Not Available |
| Full Name | Mitra Shahryary Lcsw, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9330 Campbell Rd, Vienna, Virginia |
| Authorized Official Name and Position | Mitra Shahryary (CLINICIAN) |
| Authorized Official Contact | 2027501138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitra Shahryary Lcsw, Inc 278 Cedar Ln Se # 4112 Vienna VA 22180-6613 Ph: (202) 750-1138 | Mitra Shahryary Lcsw, Inc 9330 Campbell Rd Vienna VA 22182-2036 Ph: (202) 750-1138 |
| NPI Number | 1700771466 |
|---|---|
| Provider Enumeration Date | 06/11/2025 |
| Last Update Date | 06/11/2025 |
| Certification Date | 06/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700771466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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