MEDICARE: MINERVA BALADEJO L.C.S.W

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
1	1041C0700X	Clinical Social Worker	SW8199	FL

General Provider Information

NPI Number	:	1619098324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINERVA BALADEJO L.C.S.W

Provider Business Mailing Address
First Line	:	6008 KNIGHTS RIDGE WAY
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-1635
Country	:	US
Telephone Number	:	703-922-1749
Fax Number	:

Provider Business Practice Location Address
First Line	:	6008 KNIGHTS RIDGE WAY
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-1635
Country	:	US
Telephone Number	:	703-922-1749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	12/19/2008

Similar Medicare Providers

1003690769 — GABRIELA AGUILA CONWAY DNP, FNP-BC
Practice Location Address:

3111 TELEGRAPH CORNER LN STE 100
ALEXANDRIA, VA
22310-2360

Practice Phone: 703-317-3200
Practice Fax: 703-317-3231

1982555314 — NATALIE BOTH MSW
Practice Location Address:

6400 GROVEDALE DR STE 200
ALEXANDRIA, VA
22310-2504

Practice Phone: 571-414-9645
Practice Fax:

1346003324 — FARIDA ARRABEL DIEGO FNP-C
Practice Location Address:

6355 WALKER LN STE 507
ALEXANDRIA, VA
22310-3251

Practice Phone: 703-738-4332
Practice Fax:

1568465912 — MICHAEL R ABIDIN MD
Practice Location Address:

6355 WALKER LANE, SUITE 308
ALEXANDRIA, VA
22310-3247

Practice Phone: 703-313-7700
Practice Fax: 703-313-0178

1164425500 — IYAD S SAIDI MD. PHD
Practice Location Address:

6355 WALKER LN , STE 308
ALEXANDRIA, VA
22310-3247

Practice Phone: 703-313-7700
Practice Fax: 703-313-6718

1578566931 — M TAREK ORFALY MD
Practice Location Address:

6355 WALKER LN , STE 308
ALEXANDRIA, VA
22310-3247

Practice Phone: 703-313-7700
Practice Fax: 703-313-6718

Directions to “ MINERVA BALADEJO L.C.S.W” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.