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General NPI Number Information
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NPI Number | 1467172858
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Entity Type | Individual
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Provider Name | VICTORIA YEBOAH LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/29/2022
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1005 N GLEBE RD STE 525
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City | ARLINGTON
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State | VA
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Zip | 22201-5792
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Country | US
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Telephone | 804-207-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 325 ELLINGTON BLVD PMB 509
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City | GAITHERSBURG
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State | MD
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Zip | 20878
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Country | US
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Telephone | 240-428-0465
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Fax | 240-846-3721
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0904018340
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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 | 0904018340
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License Number State | VA
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