Individual
EVE SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW,LCSW
Contact information
Practice address
1485 CHAIN BRIDGE RD STE 303, MC LEAN, VA 22101-4501
(781) 810-8013
Mailing address
PO BOX 4950, WASHINGTON, DC 20008-0150
(781) 810-8013
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
0904014126
VA
1041C0700X
Clinical Social Worker
Primary
123450
MA
1041C0700X
Clinical Social Worker
224344
MA
1041C0700X
Clinical Social Worker
LC200001403
DC
Other
Enumeration date
08/19/2016
Last updated
02/05/2024
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