Ellen Lea Waranch in Virginia Beach - Clinical
Ellen Lea Waranch - NPI 1518992007
Ellen Lea Waranch is a Clinical in Virginia Beach, Virginia. Ellen Lea Waranch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen Lea Waranch is 1518992007. The last update date is 2016-06-17.
Ellen Lea Waranch's current location address is 5000 Corporate Woods Dr, Virginia Beach, Virginia. You can contact this provider via phone number 7574594640 and fax number 7574594643. The mailing address for Ellen Lea Waranch is 5000 Corporate Woods Dr, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Lea Waranch |
|---|---|
| Address | 5000 Corporate Woods Dr, Virginia Beach, Virginia |
| Phone Number | 7574594640 |
| Fax Number | 7574594643 |
| Sole Proprietor | N |
| Credentials | MSW LCSW |
NPI Number Detail
| NPI Number | 1518992007 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2016-06-17 |
Provider Mailing Address Detail
| Address | 5000 Corporate Woods Dr |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234624429 |
| Phone Number | 7574594640 |
| Fax Number | 7574594643 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904002306 |
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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 |
|---|---|---|---|
| 8909148 | VA | -- | |
| 58166 | VA | BLUE CROSS |
Post Comment/ Review Below
What is the Ellen Lea Waranch's 1518992007?
The Ellen Lea Waranch's NPI (National Provider Identifier) Number is 1518992007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ellen Lea Waranch is geographically located?
The Ellen Lea Waranch is physically situated at the following location: 5000 Corporate Woods Dr, Virginia Beach, VA, 234624429.
What is the Ellen Lea Waranch's specialty and taxonomy code?
The Ellen Lea Waranch's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Ellen Lea Waranch receive its 1518992007 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Lea Waranch was assigned its 1518992007 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ellen Lea Waranch most recently updated or revised?
The information pertaining to Ellen Lea Waranch, including its address, specialty, and other relevant details, was last updated or revised on 2016-06-17.