| Mary Taverner, LCSW | |
|
3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 | |
| (703) 397-8163 | |
| Not Available |
| Full Name | Mary Taverner |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3611 Chain Bridge Rd Ste C, Fairfax, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659046803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC50081378 (District Of Columbia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904010991 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Taverner, LCSW 1105 S Edgewood St # 2, Arlington, VA 22204-4815 Ph: (661) 435-3429 | Mary Taverner, LCSW 3611 Chain Bridge Rd Ste C, Fairfax, VA 22030-3246 Ph: (703) 397-8163 |
Ms. Diana Marcela Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 Phone: 703-321-2687 | |
Cherelle Monea' Washington, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 415-424-4266 Fax: 415-520-6633 | |
Trisha Marie Hindy Burks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000 | |
Mrs. Irene Carol Ilachinski, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10400 Eaton Pl, Ste 200, Fairfax, VA 22030 Phone: 703-497-1771 Fax: 703-497-1225 | |
Ms. Sandra M Mansfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Lee Highway, Suite 300, Fairfax, VA 22031 Phone: 703-207-2810 Fax: 703-207-2838 | |
Anna Lee Koozmin, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-324-7100 | |
Julia Lynn Converse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000 |