Elizabeth Anne Petersilia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001002 Issued in VA

Practice address

8350 Richmond Hwy
515
Alexandria, VA 22309-2300

Phone

(703) 704-6495

Fax

(703) 704-6795

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairfax County, Virginia

  dba Fairfax-Falls Church Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740483759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 PARK RD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121432",
            "telephone_number": "706-642-3097",
            "fax_number": "703-642-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 RICHMOND HWY",
            "address_2": "515",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223092300",
            "telephone_number": "703-704-6495",
            "fax_number": "703-704-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSILIA",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Francis MD Mba LLC
• Brett Peters
• Lawrence Stephen Peters, M.D.
• Makenzie Peters
• Rachel Marie Petersen, M.A.
• Anne M Peterson
• Ashley Camille Peterson
• Lindsey Peterson
• Mary Peterson
• Michele L Peterson, CD

• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.