Provider Demographics
NPI:1346302692
Name:BRAUNFELD, EVELYN SHARON (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:SHARON
Last Name:BRAUNFELD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:44084 RIVERSIDE PKWY S 240
Mailing Address - Street 2:RIVERSIDE COUNSELING CENTER
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176
Mailing Address - Country:US
Mailing Address - Phone:703-724-0200
Mailing Address - Fax:703-724-4093
Practice Address - Street 1:44084 RIVERSIDE PKWY S 240
Practice Address - Street 2:RIVERSIDE COUNSELING CENTER
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-724-0200
Practice Address - Fax:703-724-4093
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040046331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical