# PHILIP CERRATO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356421820
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 0904006165 | VA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 12/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2102451 | BLUE CROSS BLUE SHIELD | VA |
| 01 | — | 46-4404131 | OTHER (NON-MEDICARE) | VA |