Individual
DENISE MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
44790 MAYNARD SQ STE 130, ASHBURN, VA 20147-6514
(703) 542-3737
Mailing address
20270 SPRUCEGROVE SQ, ASHBURN, VA 20147-2390
(703) 723-6090
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003771
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183941
ANTHEM
VA
01
—
183944
ANTHEM
VA
01
—
298369
AMERIGROUP
VA
05
—
8926166
—
VA
Enumeration date
08/25/2006
Last updated
09/07/2023
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