Provider Demographics
NPI:1619386935
Name:YUSUFALI, MUSARAT (LCSW)
Entity Type:Individual
Prefix:
First Name:MUSARAT
Middle Name:
Last Name:YUSUFALI
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 1:6714 WESTCOTT RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2718
Mailing Address - Country:US
Mailing Address - Phone:512-609-0699
Mailing Address - Fax:
Practice Address - Street 1:6714 WESTCOTT RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2718
Practice Address - Country:US
Practice Address - Phone:512-609-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-12
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX538091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical