Provider Demographics
NPI:1457833717
Name:NAGEL, EMILY GILSON (LCSW)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GILSON
Last Name:NAGEL
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 1:5806 MERTON CT APT 81
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-5841
Mailing Address - Country:US
Mailing Address - Phone:434-825-8800
Mailing Address - Fax:
Practice Address - Street 1:101 ROWELL CT
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3126
Practice Address - Country:US
Practice Address - Phone:703-533-1996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040106671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical