# ALICE KASSABIAN PHD LCSW LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alice Kassabian DSW LCSW LTD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174698682
- **Authorized official:** MRS. ALICE KASSABIAN PHD (PRESIDENT)
- **Authorized official phone:** (703) 242-0896

## Contact information

- **Practice address:** 243 CHURCH ST NW, SUITE 300A, VIENNA, VA 22180-4434
- **Practice address phone:** (703) 242-0896
- **Practice address fax:** (703) 938-8393
- **Mailing address:** 243 CHURCH ST NW, SUITE 300A, VIENNA, VA 22180-4434
- **Mailing address phone:** (703) 242-0896
- **Mailing address fax:** (703) 938-8393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 0904000070 | VA | Yes |
| 1041C0700X | Clinical Social Worker | LC301551 | DC | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 02/19/2008