Healthcare Provider Details

I. General information

NPI: 1467966416
Provider Name (Legal Business Name): KAREN HAHN STRIDER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 11/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3611 CHAIN BRIDGE RD STE C
FAIRFAX VA
22030-3246
US

IV. Provider business mailing address

3226 MILITARY RD NW
WASHINGTON DC
20015-1320
US

V. Phone/Fax

Practice location:
  • Phone: 703-380-9045
  • Fax:
Mailing address:
  • Phone: 202-494-4712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLG50081709
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: