Provider Demographics
NPI:1871920363
Name:ZAHN, JULIA R (LICSW)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:R
Last Name:ZAHN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:R
Other - Last Name:WILMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 ASHBY ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-2904
Mailing Address - Country:US
Mailing Address - Phone:703-915-9861
Mailing Address - Fax:
Practice Address - Street 1:305 ASHBY ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22305-2904
Practice Address - Country:US
Practice Address - Phone:703-915-9861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VALC500794441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical