Basic Information
| Provider Information | |||||||||
| NPI: | 1003144932 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOLL | ||||||||
| FirstName: | KRISTIN | ||||||||
| MiddleName: | ELIZABETH | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | L.C.S.W. | ||||||||
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| Mailing Information | |||||||||
| Address1: | WTB WALTER REED NATIONAL MILITARY CTR | ||||||||
| Address2: | 8901 ROCKVILLE PIKE | ||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208895600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3014000415 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7344 ELDORADO CT | ||||||||
| Address2: | |||||||||
| City: | MC LEAN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221022908 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038886965 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2009 | ||||||||
| LastUpdateDate: | 03/05/2019 | ||||||||
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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 | 0904007134 | VA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.