Basic Information
| Provider Information | |||||||||
| NPI: | 1700237427 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TAGLIARINO | ||||||||
| FirstName: | VIRGINIA | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 518 9TH ST NE APT 401 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200025342 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027978806 | ||||||||
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| Practice Location | |||||||||
| Address1: | 60 O ST NW | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200011259 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2027978806 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2016 | ||||||||
| LastUpdateDate: | 06/23/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | LC50080210 | DC | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.