Individual
CHERAH RENEE DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14139 POTOMAC MILLS RD, KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER, WOODBRIDGE, VA 22192-4644
(703) 460-8400
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006738
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
Enumeration date
02/27/2008
Last updated
12/06/2012
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