Provider Demographics
NPI:1801231782
Name:REIBLING, JOHN SHINNERS (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:SHINNERS
Last Name:REIBLING
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 LYONS LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-2013
Mailing Address - Country:US
Mailing Address - Phone:703-671-7068
Mailing Address - Fax:
Practice Address - Street 1:3712 LYONS LN
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-2013
Practice Address - Country:US
Practice Address - Phone:703-671-7068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904002857101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health