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NPI Code Detail

MEDICARE: MS. WENDY C FISCHER L.C.S.W.

MEDICARE: MS. WENDY C FISCHER 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
11041C0700XClinical Social Worker0904000773VA

General Provider Information

NPI Number : 1982754354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WENDY C FISCHER L.C.S.W.
Provider Business Mailing Address
First Line : 6610 SANDOVER CT
Second Line :
City : SPRINGFIELD
State : VA
Zip : 22152-2934
Country : US
Telephone Number : 703-866-4565
Fax Number : 703-866-9059
Provider Business Practice Location Address
First Line : 101 S WHITING ST STE 202
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22304-3416
Country : US
Telephone Number : 703-866-4565
Fax Number : 703-866-9059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 09/22/2020

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