Provider Demographics
NPI:1235113416
Name:TRAUTMANN, DAVID LEONARD (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LEONARD
Last Name:TRAUTMANN
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 1:7357 NICOLE MARIE CT
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-2730
Mailing Address - Country:US
Mailing Address - Phone:571-655-7088
Mailing Address - Fax:
Practice Address - Street 1:1485 CHAIN BRIDGE RD.
Practice Address - Street 2:STE 304-A
Practice Address - City:MCLEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4501
Practice Address - Country:US
Practice Address - Phone:703-634-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-39711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical