Individual
MS. ELLEN LEA WARANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
5000 CORPORATE WOODS DR, SUITE 400, VIRGINIA BEACH, VA 23462-4429
(757) 459-4640
(757) 459-4643
Mailing address
5000 CORPORATE WOODS DR, SUITE 400, VIRGINIA BEACH, VA 23462-4429
(757) 459-4640
(757) 459-4643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002306
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058166
BLUE CROSS
VA
05
—
8909148
—
VA
Enumeration date
07/12/2006
Last updated
06/17/2016
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