Individual
PHILIP CERRATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
9300 FOREST POINT CIR, MANASSAS, VA 20110-4765
(703) 508-4578
Mailing address
11601 CHAPEL RD, CLIFTON, VA 20124-1907
(703) 508-4578
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904006165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2102451
BLUE CROSS BLUE SHIELD
VA
01
—
46-4404131
OTHER (NON-MEDICARE)
VA
Enumeration date
10/17/2006
Last updated
12/10/2018
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