Provider Demographics
NPI:1992025209
Name:JIWA, SALIMA (MSW, MFT)
Entity Type:Individual
Prefix:MS
First Name:SALIMA
Middle Name:
Last Name:JIWA
Suffix:
Gender:F
Credentials:MSW, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 FAIRLAWN DR
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-4638
Mailing Address - Country:US
Mailing Address - Phone:703-785-3463
Mailing Address - Fax:
Practice Address - Street 1:6601 FAIRLAWN DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4638
Practice Address - Country:US
Practice Address - Phone:703-785-3463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker