Healthcare Provider Details

I. General information

NPI: 1336148444
Provider Name (Legal Business Name): RICHARD SAVA LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 10/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8316 ARLINGTON BLVD SUITE 600
FAIRFAX VA
22031-5207
US

IV. Provider business mailing address

8316 ARLINGTON BLVD SUITE 600
FAIRFAX VA
22031-5207
US

V. Phone/Fax

Practice location:
  • Phone: 703-698-5220
  • Fax: 703-573-2351
Mailing address:
  • Phone: 703-698-5220
  • Fax: 703-573-2351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0904000137
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: