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NPI Code Detail

MEDICARE: RACHEL LOUISE ROSENBERG LCSW

MEDICARE: RACHEL LOUISE ROSENBERG 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
1104100000XSocial Worker17935MD
21041C0700XClinical Social Worker0904009146VA

General Provider Information

NPI Number : 1821350802
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LOUISE ROSENBERG LCSW
Provider Business Mailing Address
First Line : 108A S COLUMBUS ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3051
Country : US
Telephone Number : 703-963-4261
Fax Number :
Provider Business Practice Location Address
First Line : 108A S COLUMBUS ST
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22314-3051
Country : US
Telephone Number : 703-963-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2012
Last Update Date : 12/22/2015

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