Unknown Individual – Clinical Social Worker, NPI 1992712665
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
11260, Roger Bacon Drive, Reston, Fairfax County, Virginia, 20190, United States
SUITE 202
RESTON, VA 201905227
Phone: (202) 390-1461
Type: Location
Encore of McLean, 1808, Old Meadow Road, Dolley Madison Apartments, Tysons, Fairfax County, Virginia, 22102, United States
APT. #403
MCLEAN, VA 221021849
Phone: (202) 390-1461
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
Source: CMS public data · Not endorsed by CMS ·
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 20190)
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