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7910 Andrus Rd Ste 15 Alexandria VA 22306-3171 | |
| (703) 490-9680 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 7910 Andrus Rd Ste 15, Alexandria, Virginia |
| Authorized Official Name and Position | Sarah E Vonharten (PRESIDENT) |
| Authorized Official Contact | 7934909680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
7910 Andrus Rd Ste 15 Alexandria VA 22306-3171 Ph: (703) 490-9680 | 7910 Andrus Rd Ste 15 Alexandria VA 22306-3171 Ph: (703) 490-9680 |
| NPI Number | 1124437801 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 02/05/2025 |
| Certification Date | 02/05/2025 |
| Medicare PECOS PAC ID | 5799905139 |
|---|---|
| Medicare Enrollment ID | O20141006002418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124437801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005714 (Virginia) | Primary |
| Provider Name | Sarah Elizabeth Vonharten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245209964 PECOS PAC ID: 5698995033 Enrollment ID: I20141006002469 |
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