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NPI Code Detail

MEDICARE: MS. ERICKA S NEINER LCSW

MEDICARE: MS. ERICKA S NEINER 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
11041C0700XClinical Social Worker0904004707VA

General Provider Information

NPI Number : 1437131687
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ERICKA S NEINER LCSW
Provider Business Mailing Address
First Line : 6801 LUCY CORR CT
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-6657
Country : US
Telephone Number : 804-748-1227
Fax Number : 804-717-6659
Provider Business Practice Location Address
First Line : 6801 LUCY CORR CT
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-6657
Country : US
Telephone Number : 804-748-1227
Fax Number : 804-717-6659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 07/09/2007

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