Healthcare Provider Details

I. General information

NPI: 1801853163
Provider Name (Legal Business Name): JANINE RUMBERGER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 HUDGINS RD STE 201
FREDERICKSBURG VA
22408-4172
US

IV. Provider business mailing address

420 HUDGINS RD STE 201
FREDERICKSBURG VA
22408-4172
US

V. Phone/Fax

Practice location:
  • Phone: 540-907-0121
  • Fax: 866-832-7890
Mailing address:
  • Phone: 540-907-0121
  • Fax: 866-832-7890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904004004
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: