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NPI Code Detail

MEDICARE: MS. REBECCA ELIZABETH HOCHBRUECKNER LCSW

MEDICARE:  MS. REBECCA ELIZABETH HOCHBRUECKNER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904011280VA

General Provider Information

NPI Number : 1437700903
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA ELIZABETH HOCHBRUECKNER LCSW
Provider Business Mailing Address
First Line : 7916 ORANGE PLANK RD
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22153-2345
Country : US
Telephone Number : 703-405-1948
Fax Number :
Provider Business Practice Location Address
First Line : 7432 ALBAN STATION BLVD STE B228
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22150-2332
Country : US
Telephone Number : 703-405-1948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 07/13/2021

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Directions to “ MS. REBECCA ELIZABETH HOCHBRUECKNER LCSW” Practice Location

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