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Contact Information

ILENE R EVANTER, L.C.S.N., B.C.D.
6723 WHITTIER AVENUE
SUITE 405A
MCLEAN, VA22101
 Phone: 571-201-5647
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for ILENE R EVANTER · (Female)

NPI Number 1114151826
Status Active
Credentials L.C.S.N., B.C.D.
Entity Individual
Enumeration date 05/08/2009
Last updated 05/08/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 090400040
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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