NPI 1013047083

Irene Carol Ilachinski, LCSW

Practitioner Clinical Social Worker Fairfax, VA

Practice location

Address: 10400 Eaton Pl STE 200, Fairfax, VA 22030-2208
Phone: (703) 497-1771
Fax: (703) 497-1225

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0904006259 (VA)

Other Social Worker providers in Virginia →

Registry record

NPI: 1013047083
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Mar 2007
Record last updated: 15 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.