Provider Demographics
NPI:1447763461
Name:RUST, ELIZABETH STONEHAM (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:STONEHAM
Last Name:RUST
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 1:102 CREST CIR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7408
Mailing Address - Country:US
Mailing Address - Phone:540-542-9035
Mailing Address - Fax:
Practice Address - Street 1:13 E CLIFFORD ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4609
Practice Address - Country:US
Practice Address - Phone:540-773-3999
Practice Address - Fax:540-773-3996
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical