Provider Demographics
NPI:1366540700
Name:LOHMEYER, VIVIEN ELLEN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VIVIEN
Middle Name:ELLEN
Last Name:LOHMEYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459B CARLISLE DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4819
Mailing Address - Country:US
Mailing Address - Phone:703-796-9200
Mailing Address - Fax:703-425-4094
Practice Address - Street 1:459B CARLISLE DR
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4819
Practice Address - Country:US
Practice Address - Phone:703-796-9200
Practice Address - Fax:703-425-4094
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040012311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA647258Medicare ID - Type Unspecified