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NPI Code Detail

MEDICARE: MRS. TREONA D BATEMAN LCSW

MEDICARE: MRS. TREONA D BATEMAN 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 Worker0904006505VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10904006505OTHERVALCSW

General Provider Information

NPI Number : 1588783278
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TREONA D BATEMAN LCSW
Provider Business Mailing Address
First Line : 6300 ARDSLEY SQ
Second Line : APT. 304H
City : VIRGINIA BEACH
State : VA
Zip : 23464-3545
Country : US
Telephone Number : 757-553-8523
Fax Number :
Provider Business Practice Location Address
First Line : 3018 JAVIER RD
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4609
Country : US
Telephone Number : 703-204-9100
Fax Number : 703-204-9590
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. TREONA D BATEMAN LCSW” Practice Location

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