Organization
US DEPT OF VETARNS AFFAIRS
Active
Organization
US DEPT OF VETARNS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILLIAM LOONEY MSW (SUPERVISING SOCIAL WORKER)
(304) 232-0587
Entity
Organization
Contact information
Practice address
1206 CHAPLINE ST, WHEELING, WV 26003-3317
(304) 232-0587
(304) 232-1031
Mailing address
1206 CHAPLINE ST, WHEELING, WV 26003-3317
(304) 232-0587
(304) 232-1031
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
DP00454754
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10505
BCD
WV
01
—
DP00454754
LICSW
WV
Enumeration date
06/06/2007
Last updated
08/22/2020
Update your record
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