Healthcare Provider Details

I. General information

NPI: 1114030665
Provider Name (Legal Business Name): SHEILA BURLINGTON FINNERTY R.N., L.C.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10560 MAIN ST SUITE 410
FAIRFAX VA
22030-7182
US

IV. Provider business mailing address

9600 SAVANNAH CROSSING CT
VIENNA VA
22182-4412
US

V. Phone/Fax

Practice location:
  • Phone: 703-352-8534
  • Fax:
Mailing address:
  • Phone: 703-938-0486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW0904002310
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: