Organization
FOR CHILDREN'S SAKE OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K EVANS LCSW, BCD (CEO)
(703) 817-9890
Entity
Organization
Contact information
Practice address
14900 BOGLE DR, SUITE 200, CHANTILLY, VA 20151-1756
(703) 817-9890
(703) 817-9860
Mailing address
14900 BOGLE DR, SUITE 200, CHANTILLY, VA 20151-1756
(703) 817-9890
(703) 817-9860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0904008453
VA
1041C0700X
Clinical Social Worker
Primary
0904003512
VA
1041C0700X
Clinical Social Worker
0904006815
VA
1041C0700X
Clinical Social Worker
0904007372
VA
1041C0700X
Clinical Social Worker
904002080
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639281231
—
VA
Enumeration date
08/31/2006
Last updated
05/23/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us