Provider Demographics
NPI:1932784592
Name:HALPERN, PEGGY L (MSW, LICSW, PHD)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:L
Last Name:HALPERN
Suffix:
Gender:F
Credentials:MSW, LICSW, PHD
Other - Prefix:DR
Other - First Name:PEGGY
Other - Middle Name:L
Other - Last Name:HALPERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, LICSW, PHD
Mailing Address - Street 1:801 N MONROE ST APT 931
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-2376
Mailing Address - Country:US
Mailing Address - Phone:703-807-0566
Mailing Address - Fax:
Practice Address - Street 1:801 N MONROE ST APT 931
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2376
Practice Address - Country:US
Practice Address - Phone:703-807-0566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA090400073781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical