Mr Mark A Bodwalk, LPC LMFT is a
Marriage & Family Therapist based in Clifton, Virginia. Mr Mark A Bodwalk is licensed to practice in Virginia (license number 0717000297) and his current practice location is
6922 Newman Rd, Clifton, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 830-8864.
NPI number for Mr Mark A Bodwalk is 1548369390 and his current mailing address is 6922 Newman Rd, Clifton, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548369390.
Healthcare Provider's Profile
| Full Name | Mr Mark A Bodwalk |
|---|
| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 6922 Newman Rd, Clifton, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548369390
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Mark A Bodwalk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548369390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 0701002569 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0717000297 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark A Bodwalk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark A Bodwalk, LPC LMFT
6922 Newman Rd,
Clifton, VA 20124-1613
Ph: (703) 830-8864 | Mr Mark A Bodwalk, LPC LMFT
6922 Newman Rd,
Clifton, VA 20112-1613
Ph: (703) 830-8864 |
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