MEDICARE: MS. ELIZABETH WEEKS MUSIL LCSW DCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904001921	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184619322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELIZABETH WEEKS MUSIL LCSW DCSW

Provider Business Mailing Address
First Line	:	8500 EXECUTIVE PARK AVE
Second Line	:	STE 200
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2228
Country	:	US
Telephone Number	:	571-277-6437
Fax Number	:	703-524-2971

Provider Business Practice Location Address
First Line	:	8500 EXECUTIVE PARK AVE
Second Line	:	STE 200
City	:	FAIRFAX
State	:	VA
Zip	:	22031-2228
Country	:	US
Telephone Number	:	571-277-6437
Fax Number	:	703-524-2971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	02/21/2017

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