Provider Demographics
NPI:1316563422
Name:TAWEEL, GABRIELLA HELENE (LCSW)
Entity Type:Individual
Prefix:
First Name:GABRIELLA
Middle Name:HELENE
Last Name:TAWEEL
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 1:4320 OLD DOMINION DR APT 802
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-3239
Mailing Address - Country:US
Mailing Address - Phone:703-424-3935
Mailing Address - Fax:
Practice Address - Street 1:801 N QUINCY ST STE 620
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1999
Practice Address - Country:US
Practice Address - Phone:703-812-4642
Practice Address - Fax:703-812-7926
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040115641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical