Provider Demographics
NPI:1588903520
Name:SOBEL, LILLIAN ERIKA (LCSW)
Entity type:Individual
Prefix:
First Name:LILLIAN
Middle Name:ERIKA
Last Name:SOBEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 WASHIGNTON BLVD
Mailing Address - Street 2:FLOOR 4
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-228-1755
Mailing Address - Fax:703-228-1756
Practice Address - Street 1:2100 WASHIGNTON BLVD
Practice Address - Street 2:FLOOR 4
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-228-1755
Practice Address - Fax:703-228-1756
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical