MEDICARE: MRS. JOANNE LOUISE STRAWDER 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
1	1041C0700X	Clinical Social Worker	0904007474	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679878300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANNE LOUISE STRAWDER LCSW

Provider Business Mailing Address
First Line	:	1380 CENTRAL PARK BLVD STE 205
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4926
Country	:	US
Telephone Number	:	540-602-2545
Fax Number	:	540-602-2542

Provider Business Practice Location Address
First Line	:	1380 CENTRAL PARK BLVD STE 205
Second Line	:
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4926
Country	:	US
Telephone Number	:	540-602-2545
Fax Number	:	540-602-2542

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

Provider Enumeration Date	:	01/11/2011
Last Update Date	:	03/21/2024

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