Provider Demographics
NPI:1164530960
Name:SHELIGA, VIVIAN IRENE PENELOPE (DSSW)
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:IRENE PENELOPE
Last Name:SHELIGA
Suffix:
Gender:F
Credentials:DSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5446 MERSEA CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1930
Mailing Address - Country:US
Mailing Address - Phone:703-426-0507
Mailing Address - Fax:202-782-3539
Practice Address - Street 1:6900 GEORGIA AVE NW
Practice Address - Street 2:DHCC, BLDG. 2 3G04
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0003
Practice Address - Country:US
Practice Address - Phone:202-782-0916
Practice Address - Fax:202-782-3539
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA36081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical