Derek Morch Lcsw Llc | |
709 Pendleton St Ste 201 Alexandria VA 22314-1820 | |
(703) 755-0260 | |
Not Available |
Full Name | Derek Morch Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 709 Pendleton St Ste 201, Alexandria, Virginia |
Authorized Official Name and Position | Derek Anton Morch (OWNER) |
Authorized Official Contact | 7037550260 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Derek Morch Lcsw Llc 709 Pendleton St Ste 201 Alexandria VA 22314-1820 Ph: (703) 755-0260 | Derek Morch Lcsw Llc 709 Pendleton St Ste 201 Alexandria VA 22314-1820 Ph: (703) 755-0260 |
NPI Number | 1114564887 |
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Provider Enumeration Date | 12/02/2019 |
Last Update Date | 12/02/2019 |
Medicare PECOS PAC ID | 4183059835 |
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Medicare Enrollment ID | O20200127001890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114564887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Derek Anton Morch |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326472101 PECOS PAC ID: 3870815384 Enrollment ID: I20200127002085 |
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