Individual
JEAN WESTERVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-7097
Mailing address
3735 FRANKLIN RD SW, ROANOKE, VA 24014-2260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904-003235
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010192692
—
VA
05
—
010192714
—
VA
05
—
010236827
—
VA
05
—
1780650325
—
VA
05
—
8919321
—
VA
Enumeration date
02/24/2006
Last updated
06/17/2008
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