Provider Demographics
NPI:1053802603
Name:AYROVAINEN, ELIZABETH GILHOOLEY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GILHOOLEY
Last Name:AYROVAINEN
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 1:6548 SKYLEMAR TRL
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-3837
Mailing Address - Country:US
Mailing Address - Phone:703-399-4218
Mailing Address - Fax:
Practice Address - Street 1:6548 SKYLEMAR TRL
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-3837
Practice Address - Country:US
Practice Address - Phone:703-399-4218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-18
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040028651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical