Maryjo Blair is a Clinical in Leesburg, Virginia. Maryjo Blair practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maryjo Blair is 1386749869. The last update date is 2007-07-08.
Maryjo Blair's current location address is 102 Heritage Way Ne Ste 302, Leesburg, Virginia. You can contact this provider via phone number 7037715176 and fax number 7037770170. The mailing address for Maryjo Blair is 102 Heritage Way Ne Ste 302, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryjo Blair |
|---|---|
| Address | 102 Heritage Way Ne Ste 302, Leesburg, Virginia |
| Phone Number | 7037715176 |
| Fax Number | 7037770170 |
| Sole Proprietor | Y |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1386749869 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 Heritage Way Ne Ste 302 |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 201764544 |
| Phone Number | 7037715176 |
| Fax Number | 7037770170 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904002474 |
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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 |
|---|---|---|---|
| 290476 | VA | ANTHEM | |
| 293877 | VA | AMERIGROUP | |
| 290477 | VA | ANTHEM |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Maryjo Blair by the Centers for Medicare & Medicaid Services?
The Maryjo Blair has been assigned the NPI (National Provider Identifier) 1386749869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Maryjo Blair's facilities are geographically located?
The facilities of Maryjo Blair are physically situated at the following location: 102 Heritage Way Ne Ste 302, Leesburg, VA, 201764544.
What is Maryjo Blair's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Maryjo Blair is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When did the Maryjo Blair receive its 1386749869?
The Maryjo Blair was issued its 1386749869 on 2006-09-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Maryjo Blair, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maryjo Blair, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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