Staci M Bostic is a Clinical in Ashburn, Virginia. Staci M Bostic practices all healthcare services and medical treatments related to Clinical. The NPI Number for Staci M Bostic is 1477645828. The last update date is 2018-09-14.
Staci M Bostic's current location address is 44075 Pipeline Plz Ste 220, Ashburn, Virginia. You can contact this provider via phone number 7032839083. The mailing address for Staci M Bostic is 44075 Pipeline Plz Ste 220, Ashburn, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci M Bostic |
|---|---|
| Address | 44075 Pipeline Plz Ste 220, Ashburn, Virginia |
| Phone Number | 7032839083 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1477645828 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2018-09-14 |
Provider Mailing Address Detail
| Address | 44075 Pipeline Plz Ste 220 |
|---|---|
| City | Ashburn |
| State | Virginia (VA) |
| Post Code | 201475890 |
| Phone Number | 7032839083 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904004116 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 293885 | VA | AMERIGROUP | |
| 114608 | VA | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Staci M Bostic by the Centers for Medicare & Medicaid Services (CMS)?
The Staci M Bostic has been assigned the NPI (National Provider Identifier) 1477645828. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Staci M Bostic is geographically located?
The Staci M Bostic is physically situated at the following location: 44075 Pipeline Plz Ste 220, Ashburn, VA, 201475890.
What is Staci M Bostic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Staci M Bostic is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477645828 to Staci M Bostic?
The Centers for Medicare & Medicaid Services assigned the 1477645828 to Staci M Bostic on 2006-09-29.
As of what date was the information regarding Staci M Bostic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Staci M Bostic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-09-14.
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