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
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