Provider Demographics
NPI:1073851861
Name:STEINBERG, PETER (LCSW)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8604 JAMES CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1518
Mailing Address - Country:US
Mailing Address - Phone:703-209-8750
Mailing Address - Fax:
Practice Address - Street 1:8130 BOONE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182-2640
Practice Address - Country:US
Practice Address - Phone:703-209-8750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040081381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical