Jennifer Lanouette Lcsw | |
105 N Virginia Ave Ste 306 Falls Church VA 22046-3342 | |
(703) 981-9070 | |
Not Available |
Full Name | Jennifer Lanouette Lcsw |
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Speciality | Social Worker |
Location | 105 N Virginia Ave Ste 306, Falls Church, Virginia |
Authorized Official Name and Position | Jennifer Lanouette (OWNER) |
Authorized Official Contact | 7039819070 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lanouette Lcsw 304 S Highland St Arlington VA 22204-2054 Ph: (703) 981-9070 | Jennifer Lanouette Lcsw 105 N Virginia Ave Ste 306 Falls Church VA 22046-3342 Ph: (703) 981-9070 |
NPI Number | 1508581455 |
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Provider Enumeration Date | 10/04/2022 |
Last Update Date | 10/04/2022 |
Certification Date | 10/04/2022 |
Medicare PECOS PAC ID | 6305213588 |
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Medicare Enrollment ID | O20221031002964 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508581455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Jennifer G Lanouette |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669147765 PECOS PAC ID: 5890191829 Enrollment ID: I20210831000883 |
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