Provider Demographics
NPI:1407629959
Name:SPINELLI, LILY K (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:LILY
Middle Name:K
Last Name:SPINELLI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20755 WILLIAMSPORT PL STE 390
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6523
Mailing Address - Country:US
Mailing Address - Phone:571-832-5077
Mailing Address - Fax:571-832-5078
Practice Address - Street 1:20755 WILLIAMSPORT PL STE 390
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6523
Practice Address - Country:US
Practice Address - Phone:571-832-5077
Practice Address - Fax:571-832-5078
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040158271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical