Mrs Leticia Salo Isidro-clancy, MA, LPC-MFT, LADC is a
Marriage & Family Therapist based in Fort Belvoir, Virginia. Mrs Leticia Salo Isidro-clancy is licensed to practice in New Jersey (license number 37PC00078400) and her current practice location is
9300 Dewitt Loop, River Pavilion 2nd Floor R2.301, Fort Belvoir Community Hospital, Fort Belvoir, Virginia. She can be reached at her office (for appointments etc.) via phone at
(571) 231-1292.
NPI number for Mrs Leticia Salo Isidro-clancy is 1043353576 and her current mailing address is 8906 Bluffwood Ln, Fort Washington, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043353576.
Healthcare Provider's Profile
Full Name | Mrs Leticia Salo Isidro-clancy |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 9300 Dewitt Loop, River Pavilion 2nd Floor R2.301, Fort Belvoir, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043353576
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 06/10/2015
Medical Identifiers
Medical identifiers for Mrs Leticia Salo Isidro-clancy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043353576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 37PC00078400 (New Jersey) | Primary |
101YM0800X | Counselor - Mental Health | 37PC00078400 (New Jersey) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00082200 (New Jersey) | Secondary |
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. Mrs Leticia Salo Isidro-clancy 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 |
Mrs Leticia Salo Isidro-clancy, MA, LPC-MFT, LADC 8906 Bluffwood Ln, Fort Washington, MD 20744-6764 Ph: (571) 231-1292 | Mrs Leticia Salo Isidro-clancy, MA, LPC-MFT, LADC 9300 Dewitt Loop, River Pavilion 2nd Floor R2.301, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Ph: (571) 231-1292 |
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