Betty O Graves is a Clinical in Woodbridge, Virginia. Betty O Graves practices all healthcare services and medical treatments related to Clinical. The NPI Number for Betty O Graves is 1578633962. The last update date is 2020-01-16.
Betty O Graves's current location address is 13649 Office Place, Woodbridge, Virginia. You can contact this provider via phone number 7036705738 and fax number 7036708213. The mailing address for Betty O Graves is 13649 Office Place, Woodbridge, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Betty O Graves |
|---|---|
| Address | 13649 Office Place, Woodbridge, Virginia |
| Phone Number | 7036705738 |
| Fax Number | 7036708213 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1578633962 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2020-01-16 |
Provider Mailing Address Detail
| Address | 13649 Office Place |
|---|---|
| City | Woodbridge |
| State | Virginia (VA) |
| Post Code | 22192 |
| Phone Number | 7036705738 |
| Fax Number | 7036708213 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904001294 |
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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 |
|---|---|---|---|
| 256401 | VA | ANTHEM BC BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Betty O Graves by the Centers for Medicare & Medicaid Services?
The Betty O Graves has been issued the NPI (National Provider Identifier) 1578633962, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Betty O Graves is physically located?
The Betty O Graves is physically situated at the following address: 13649 Office Place, Woodbridge, VA, 22192.
What is the Betty O Graves's specialty and taxonomy code?
The Betty O Graves's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578633962 to Betty O Graves?
The Centers for Medicare & Medicaid Services assigned the 1578633962 to Betty O Graves on 2006-11-09.
As of what date were the Betty O Graves's details last updated?
The information pertaining to the Betty O Graves, including its address, specialty, and other details, was most recently updated on 2020-01-16.