Unknown Individual – Clinical Social Worker, NPI 1164405072
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Smoketown Road, Smoketown Plaza, Woodbridge, Prince William County, Virginia, 22192, United States
WOODBRIDGE, VA 221924712
Phone: (703) 576-1396
Type: Location
1463, Fawn Hollow Lane, Riverside Station, Woodbridge, Prince William County, Virginia, 22191, United States
WOODBRIDGE, VA 221915519
Phone: (703) 676-1396
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22192)
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