Paula Marie Bristol in Leesburg - Clinical
Paula Marie Bristol - NPI 1962594358
Paula Marie Bristol is a Clinical in Leesburg, Virginia. Paula Marie Bristol practices all healthcare services and medical treatments related to Clinical. The NPI Number for Paula Marie Bristol is 1962594358. The last update date is 2007-07-08.
Paula Marie Bristol's current location address is 801 Childrens Center Rd, Leesburg, Virginia. You can contact this provider via phone number 7035090264 and fax number 7037774887. The mailing address for Paula Marie Bristol is 801 Childrens Center Rd, Leesburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paula Marie Bristol |
|---|---|
| Address | 801 Childrens Center Rd, Leesburg, Virginia |
| Phone Number | 7035090264 |
| Fax Number | 7037774887 |
| Sole Proprietor | N |
| Credentials | LCSW CEAP |
NPI Number Detail
| NPI Number | 1962594358 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 801 Childrens Center Rd |
|---|---|
| City | Leesburg |
| State | Virginia (VA) |
| Post Code | 20175 |
| Phone Number | 7035090264 |
| Fax Number | 7037774887 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904005662 |
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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 |
|---|---|---|---|
| 289735 | ANTHEM |
Post Comment/ Review Below
What is the Paula Marie Bristol's unique identification number?
The Paula Marie Bristol has been assigned the NPI (National Provider Identifier) Number 1962594358 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Paula Marie Bristol located?
The Paula Marie Bristol is located at 801 Childrens Center Rd, Leesburg, VA 20175.
What is Paula Marie Bristol's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paula Marie Bristol is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Paula Marie Bristol receive its 1962594358 assignment from the Centers for Medicare & Medicaid Services?
The Paula Marie Bristol was assigned its 1962594358 by the Centers for Medicare & Medicaid Services on 2006-09-29.
As of what date was the information regarding Paula Marie Bristol, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paula Marie Bristol, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.