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NPI Code Detail

MEDICARE: MS. KAREN BOOK RAMBO LCSW

MEDICARE: MS. KAREN BOOK RAMBO 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 Worker0904002203VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B406 0001OTHERVABLUE CROSS BLUE SHIELD
2126593OTHERVAVALUE OPTIONS
35765099OTHERVAAETNA
4547750OTHERVAMAGELLAN BEHAV.HEALTH

General Provider Information

NPI Number : 1538145032
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAREN BOOK RAMBO LCSW
Provider Business Mailing Address
First Line : 305 RILEY ST
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22046-3311
Country : US
Telephone Number : 703-359-9555
Fax Number :
Provider Business Practice Location Address
First Line : 5319 LEE HWY
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-1607
Country : US
Telephone Number : 703-359-9555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 07/08/2007

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