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General NPI Number Information
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NPI Number | 1215169503
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Entity Type | Individual
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Provider Name | KAY FRANCES HOMER R.N., L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 08/20/2009
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Provider Practice Location Address
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Address Line | ADOLESCENT PSYCHIATRIC PARTIAL HOSPITAL PROGRAM C/A MH
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City | FORT BELVOIR
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State | VA
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Zip | 22060-5944
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Country | US
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Telephone | 703-545-6700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 714
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City | OCCOQUAN
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State | VA
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Zip | 22125-0714
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Country | US
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Telephone | 703-494-3452
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904005974
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001139683
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License Number State | VA
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