Brian Henry Marvin in Chantilly - Clinical

Brian Henry Marvin - NPI 1861410821

Brian Henry Marvin is a Clinical in Chantilly, Virginia. Brian Henry Marvin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brian Henry Marvin is 1861410821. The last update date is 2013-05-15.

Brian Henry Marvin's current location address is 14150 Parkeast Cir Ste 200, Chantilly, Virginia. You can contact this provider via phone number 7039684000 and fax number 7032631724. The mailing address for Brian Henry Marvin is 14150 Parkeast Cir Ste 200, Chantilly, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Henry Marvin
Address 14150 Parkeast Cir Ste 200, Chantilly, Virginia
Phone Number 7039684000
Fax Number 7032631724
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1861410821
Provider Enumeration Date 2006-07-18
Last Updated Date 2013-05-15

Provider Mailing Address Detail

Address 14150 Parkeast Cir Ste 200
City Chantilly
State Virginia (VA)
Post Code 201514212
Phone Number 7039684000
Fax Number 7032631724

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 904003231
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4945107 VA --

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FAQs about Brian Henry Marvin

What is the unique 10-digit identification code issued to Brian Henry Marvin by the Centers for Medicare & Medicaid Services?

The Brian Henry Marvin has been assigned the NPI (National Provider Identifier) 1861410821 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Brian Henry Marvin's facilities are situated?

The facilities of Brian Henry Marvin are physically located at the following address: 14150 Parkeast Cir Ste 200, Chantilly, VA, 201514212.

What is Brian Henry Marvin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Brian Henry Marvin is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

On what date did the Brian Henry Marvin receive the assignment of its 1861410821 from the Centers for Medicare & Medicaid Services?

The Brian Henry Marvin was issued its 1861410821 by the Centers for Medicare & Medicaid Services on 2006-07-18.

When was the Brian Henry Marvin's information last updated?

The Brian Henry Marvin's information was last updated on 2013-05-15.

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