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General NPI Number Information
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NPI Number | 1285061739
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Entity Type | Individual
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Provider Name | SARA CHRISTINE DUCKERY L.I.C.S.W
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Gender | Female
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Dates
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Enumeration Date | 09/30/2013
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 8248 FORT HUNT ROAD
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City | ALEXANDRIA
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State | VA
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Zip | 22308
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Country | US
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Telephone | 703-799-6175
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Fax |
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Provider Business Mailing Address
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Address Line | 8248 FORT HUNT ROAD
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City | ALEXANDRIA
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State | VA
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Zip | 22308
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Country | US
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Telephone | 703-799-6175
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | PPS-0607882
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC50079129
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904010911
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License Number State | VA
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