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NPI Code Detail

MEDICARE: SARAH ELIZABETH EBERLE LCSW

MEDICARE: SARAH ELIZABETH EBERLE 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 Worker0904009662VA

General Provider Information

NPI Number : 1831636620
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ELIZABETH EBERLE LCSW
Provider Business Mailing Address
First Line : 324 N FAIRFAX ST
Second Line : SUITE 200
City : ALEXANDRIA
State : VA
Zip : 22314-2625
Country : US
Telephone Number : 571-306-0578
Fax Number :
Provider Business Practice Location Address
First Line : 324 N FAIRFAX ST
Second Line : SUITE 200
City : ALEXANDRIA
State : VA
Zip : 22314-2625
Country : US
Telephone Number : 571-306-0578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2017
Last Update Date : 01/31/2017

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Directions to “ SARAH ELIZABETH EBERLE LCSW” Practice Location

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