MEDICARE: MARGARET LEFBOM LCSW

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
1	1041C0700X	Clinical Social Worker	0904007243	VA

General Provider Information

NPI Number	:	1245967454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET LEFBOM LCSW

Provider Business Mailing Address
First Line	:	3127 VALLEY LN
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22044-1736
Country	:	US
Telephone Number	:	703-862-1403
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 E BROAD ST
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22046-4529
Country	:	US
Telephone Number	:	703-862-1403
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2022
Last Update Date	:	08/07/2022

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