Individual
CARL ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Mailing address
412 CHATHAM SQUARE OFFICE PARK, FREDERICKSBURG, VA 22405-2561
(540) 899-9826
(540) 373-3913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002041
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111887
ANTHEM BCBS PROVIDER #
VA
01
—
324148
TRICARE
VA
Enumeration date
09/12/2006
Last updated
07/08/2007
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