MEDICARE: MS. THERESE P. PHOTIADIS LCSW

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	0904002275	VA

General Provider Information

NPI Number	:	1316169642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. THERESE P. PHOTIADIS LCSW

Provider Business Mailing Address
First Line	:	1485 CHAIN BRIDGE RD
Second Line	:	204
City	:	MCLEAN
State	:	VA
Zip	:	22101-4501
Country	:	US
Telephone Number	:	703-734-1477
Fax Number	:	703-734-6333

Provider Business Practice Location Address
First Line	:	1485 CHAIN BRIDGE RD
Second Line	:	204
City	:	MCLEAN
State	:	VA
Zip	:	22101-4501
Country	:	US
Telephone Number	:	703-734-1477
Fax Number	:	703-734-6333

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992807424 — MS. JOAN A PICKETT MA, L.P.C., C.S.A.C.
Practice Location Address:

1485 CHAIN BRIDGE RD , SUITE 203
MCLEAN, VA
22101-4501

Practice Phone: 703-749-7928
Practice Fax: 703-749-0436

1235113416 — MR. DAVID LEONARD TRAUTMANN L.C.S.W.
Practice Location Address:

1485 CHAIN BRIDGE RD. , STE 304-A
MCLEAN, VA
22101-4501

Practice Phone: 703-634-9893
Practice Fax:

1326155615 — PETER D LENARD M.D.
Practice Location Address:

1485 CHAIN BRIDGE RD , SUITE 202
MCLEAN, VA
22101-4501

Practice Phone: 703-734-2890
Practice Fax: 703-734-0305

1376694463 — MS. ANNETTE B. KIELKOPF LPC, LMFT
Practice Location Address:

1485 CHAIN BRIDGE RD , SUITE 203
MCLEAN, VA
22101-4501

Practice Phone: 703-288-9022
Practice Fax:

1740916410 — JOHN ARNOLD LPC
Practice Location Address:

1485 CHAIN BRIDGE RD STE 202
MC LEAN, VA
22101-4501

Practice Phone: 571-301-3928
Practice Fax:

1750492344 — DORCAS WORLEY LUSHETSKY LCSW
Practice Location Address:

1485 CHAIN BRIDGE RD , SUITE 203
MC LEAN, VA
22101-4501

Practice Phone: 703-307-8359
Practice Fax:

Directions to “ MS. THERESE P. PHOTIADIS LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.