Provider Demographics
NPI:1053501338
Name:HARRISON, REBECCA C (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:C
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6036 FRANKLIN PARK RD
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4211
Mailing Address - Country:US
Mailing Address - Phone:703-532-5025
Mailing Address - Fax:
Practice Address - Street 1:6723 WHITTIER AVE, SUITE 410
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101
Practice Address - Country:US
Practice Address - Phone:703-966-6700
Practice Address - Fax:703-942-5028
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical