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NPI Code Detail

MEDICARE: NORA M VASSAR LCSW

MEDICARE:   NORA M VASSAR  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 Worker0904008083VA
2101YM0800XMental Health Counselor0904008083VA

General Provider Information

NPI Number : 1548504467
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA M VASSAR LCSW
Provider Business Mailing Address
First Line : 2925 BURLEY RIDGE TER
Second Line :
City : CHESTER
State : VA
Zip : 23831-7115
Country : US
Telephone Number : 804-556-5400
Fax Number : 804-556-5403
Provider Business Practice Location Address
First Line : 165 LEGRANDE AVE
Second Line :
City : CHARLOTTE COURT HOUSE
State : VA
Zip : 23923-3747
Country : US
Telephone Number : 434-542-5560
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 07/03/2025

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Directions to “ NORA M VASSAR LCSW” Practice Location

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