Individual
MRS. CAROL FRANCES BLECHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12644 CHAPEL RD STE 207, CLIFTON, VA 20124-8000
(703) 407-6067
Mailing address
12644 CHAPEL RD STE 207, CLIFTON, VA 20124-8000
(703) 407-6067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006167
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185202
BLUE CROSS BLUE SHIELD
VA
01
—
293946
AMERIGROUP
VA
05
—
4945247
—
VA
Enumeration date
11/28/2006
Last updated
04/17/2024
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