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NPI Code Detail

MEDICARE: LINDA E LOVE LCSW PC

MEDICARE: LINDA E LOVE LCSW PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker0904003639VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073512349
Entity Type Code : Organization
Provider Name (Legal Business Name) : LINDA E LOVE LCSW PC
Provider Business Mailing Address
First Line : 4966 RAIL DR
Second Line :
City : SANDSTON
State : VA
Zip : 23150-5464
Country : US
Telephone Number : 804-221-6682
Fax Number :
Provider Business Practice Location Address
First Line : 5821 STAPLES MILL RD STE 201
Second Line :
City : RICHMOND
State : VA
Zip : 23228-5427
Country : US
Telephone Number : 804-221-6682
Fax Number : 807-264-1029
Authorized Official
Title or Position : OWNER
Name : MS. LINDA E LORE
Credential : LCSW
Telephone Number : 804-270-6807
Provider Enumeration Date : 07/19/2005
Last Update Date : 04/19/2024

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Directions to “LINDA E LOVE LCSW PC ” Practice Location

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