MEDICARE: GLORIA SAEZ

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	3882C	AL
2	1041C0700X	Clinical Social Worker	0904009738	VA
3	1041C0700X	Clinical Social Worker	26918	MD
4	1041C0700X	Clinical Social Worker	149025355	IL
5	1041C0700X	Clinical Social Worker	LC50080965	DC

General Provider Information

NPI Number	:	1689127524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLORIA SAEZ

Provider Business Mailing Address
First Line	:	105 KERBY PKWY
Second Line	:
City	:	FT WASHINGTON
State	:	MD
Zip	:	20744-4737
Country	:	US
Telephone Number	:	703-828-7159
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 WYTHE ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-1917
Country	:	US
Telephone Number	:	702-828-7159
Fax Number	:

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

Provider Enumeration Date	:	07/27/2016
Last Update Date	:	03/22/2023

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Directions to “ GLORIA SAEZ ” Practice Location

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