Provider Demographics
NPI:1770821977
Name:DELIZZIO, JULIA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LYNN
Last Name:DELIZZIO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:LYNN
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:46499 PRIMULA CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7248
Mailing Address - Country:US
Mailing Address - Phone:703-278-2826
Mailing Address - Fax:
Practice Address - Street 1:46499 PRIMULA CT
Practice Address - Street 2:
Practice Address - City:POTOMAC FALLS
Practice Address - State:VA
Practice Address - Zip Code:20165-7248
Practice Address - Country:US
Practice Address - Phone:703-278-2826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040080791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical