Individual
MS. JOYCE H. SOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
12050 S LAKES DR, RESTON, VA 20191-1220
(703) 860-5655
(703) 281-1302
Mailing address
10204 HUNT COUNTRY LN, VIENNA, VA 22182-1818
(703) 281-6591
(703) 281-1302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001235
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010195306
—
VA
01
—
11527455
CAQH UNIVERSAL CREDENTIAL
—
01
—
441854
ANTHEM INS. PROVIDER NUMB
VA
01
—
5851262
AETNA PROVIDER NUMBER
VA
01
—
A309
CARE FIRST BCBS PROV. ID
VA
Enumeration date
01/16/2006
Last updated
07/29/2010
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