Provider Demographics
NPI:1982746632
Name:MENZIN, WILLIAM S (LICSW)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:S
Last Name:MENZIN
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 AARON CT
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2514
Mailing Address - Country:US
Mailing Address - Phone:703-987-1458
Mailing Address - Fax:703-757-2270
Practice Address - Street 1:3000 CONNECTICUT AVE NW
Practice Address - Street 2:SUITE 214
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-2509
Practice Address - Country:US
Practice Address - Phone:703-987-1458
Practice Address - Fax:703-757-2270
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC03004271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical