Basic Information
| Provider Information | |||||||||
| NPI: | 1780823856 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LINKH | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | GRUBER | ||||||||
| OtherFirstName: | DENISE | ||||||||
| OtherMiddleName: | E | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 10692 PAYNES CHURCH DRIVE | ||||||||
| Address2: | |||||||||
| City: | FAIRFAX | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22032 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7036736935 | ||||||||
| FaxNumber: | 7037767799 | ||||||||
| Practice Location | |||||||||
| Address1: | 20690 ARROWHEAD DR. | ||||||||
| Address2: | FAIRFAX HEALTH CENTER, BEHAVIORAL HEALTH | ||||||||
| City: | FAIRFAX | ||||||||
| State: | VA | ||||||||
| PostalCode: | 22030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5714322780 | ||||||||
| FaxNumber: | 5714322785 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2009 | ||||||||
| LastUpdateDate: | 01/26/2017 | ||||||||
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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 | 0904006904 | VA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.