Healthcare Provider Details

I. General information

NPI: 1184097560
Provider Name (Legal Business Name): CHAO-HUI SUNG L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2015
Last Update Date: 06/03/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 N GEORGE MASON DR
ARLINGTON VA
22205-3683
US

IV. Provider business mailing address

8458 CLOVER LEAF DR
MC LEAN VA
22102-2227
US

V. Phone/Fax

Practice location:
  • Phone: 703-558-5000
  • Fax:
Mailing address:
  • Phone: 703-209-3973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number08407
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904002836
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: