Provider Demographics
NPI:1649397993
Name:HERTZBERG, DEBORAH ASHER (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:ASHER
Last Name:HERTZBERG
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 1:801 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4105
Mailing Address - Country:US
Mailing Address - Phone:703-683-1399
Mailing Address - Fax:703-548-9863
Practice Address - Street 1:801 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4105
Practice Address - Country:US
Practice Address - Phone:703-683-1399
Practice Address - Fax:703-548-9863
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040007641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical