Ms Edith Lynne Brokaw, LCSW, CSAC is a
Social Worker - Clinical based in Ashburn, Virginia. Ms Edith Lynne Brokaw is licensed to practice in Virginia (license number 0904005800) and her current practice location is
44081 Pipeline Plz, #105, Ashburn, Virginia. She can be reached at her office (for appointments etc.) via phone at
(703) 403-6944.
NPI number for Ms Edith Lynne Brokaw is 1639284326 and her current mailing address is 44104 Natalie Ter, Suite 102, Ashburn, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639284326.
Healthcare Provider's Profile
| Full Name | Ms Edith Lynne Brokaw |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 44081 Pipeline Plz, Ashburn, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639284326
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 08/08/2012
Medical Identifiers
Medical identifiers for Ms Edith Lynne Brokaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639284326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0710102052 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904005800 (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. Ms Edith Lynne Brokaw 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 |
|---|
Ms Edith Lynne Brokaw, LCSW, CSAC
44104 Natalie Ter, Suite 102,
Ashburn, VA 20147-7901
Ph: (703) 403-6944 | Ms Edith Lynne Brokaw, LCSW, CSAC
44081 Pipeline Plz, #105,
Ashburn, VA 20147-5891
Ph: (703) 403-6944 |
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