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NPI Code Detail

MEDICARE: JEANNE KADET LCSW, LSATP

MEDICARE:   JEANNE  KADET  LCSW, LSATP
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
1101YA0400XAddiction (Substance Use Disorder) Counselor0718000013VA
21041C0700XClinical Social Worker0904000171VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1571204205OTHERVAGREAT WEST HEALTH CARE
2571204205OTHERVANCPPO HEALTHCARE
3J619-0001OTHERVACAREFIRST BC BS INSURANCE
4136809OTHERVAANTHEM INSURANCE
5108418OTHERVAUNITED BEHAVIORAL HEALTH
6282524000OTHERVAMAGELLAN HEALTHCARE
7571204205OTHERVIPHCS HEALTHCARE
80007253377OTHERVAAETNA INSURANCE
9136810OTHERVAANTHEM INSURANCE
10571204205OTHERVAUNITED HEALTHCARE

General Provider Information

NPI Number : 1376546564
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE KADET LCSW, LSATP
Provider Business Mailing Address
First Line : 5244 LYNGATE CT
Second Line : SUITE 200
City : BURKE
State : VA
Zip : 22015-1631
Country : US
Telephone Number : 703-508-4591
Fax Number : 703-425-4591
Provider Business Practice Location Address
First Line : 5244 LYNGATE CT
Second Line : SUITE 200
City : BURKE
State : VA
Zip : 22015-1631
Country : US
Telephone Number : 703-508-4591
Fax Number : 703-425-4591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 06/24/2015

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