Provider Demographics
NPI:1891849329
Name:SCHWARTZ, VIRGINA BRIGGS
Entity Type:Individual
Prefix:
First Name:VIRGINA
Middle Name:BRIGGS
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VIRGINA
Other - Middle Name:B
Other - Last Name:FITZPATRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:3004 LEE HWY
Mailing Address - Street 2:D111
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-4233
Mailing Address - Country:US
Mailing Address - Phone:703-276-1530
Mailing Address - Fax:
Practice Address - Street 1:3004 LEE HWY
Practice Address - Street 2:D111
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-4233
Practice Address - Country:US
Practice Address - Phone:703-276-1530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810000985103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2943190OtherAETUA
VAH313OtherCARE FIRST
751898Medicare ID - Type Unspecified