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NPI Code Detail

MEDICARE: MRS. DIANE M WINTER LCSW

MEDICARE:  MRS. DIANE M WINTER  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 Worker0904005254VA

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 : 1447284336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE M WINTER LCSW
Provider Business Mailing Address
First Line : 8351 STAHLWAY LN
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-4367
Country : US
Telephone Number : 703-819-8467
Fax Number :
Provider Business Practice Location Address
First Line : 720 N SAINT ASAPH ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-1912
Country : US
Telephone Number : 703-838-9445
Fax Number : 703-838-5070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 07/10/2008

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Directions to “ MRS. DIANE M WINTER LCSW” Practice Location

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