MS. ROBERTA E SEVERO


Address: 3912 Pineland St, Fairfax, VA 22031-3321
Phone: 7039781885

MS. ROBERTA E SEVERO (NPI# 1053339929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053339929
Entity Type Individual
Full Name MS. ROBERTA E SEVERO
Credential LCSW LSATP
Practice Address 3912 Pineland St
Fairfax
VA 22031-3321
Practice Telephone 7039781885
Mailing Telephone 7039781885
Enumeration Date 2006-07-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
0718000078 VA Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
0904002405 VA Behavioral Health & Social Service Providers

Office Location

Street Address 3912 PINELAND ST
City FAIRFAX
State VA
Zip Code 22031-3321

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1770959603 Kimberley L Berlin Counselor 10640 Page Ave, Fairfax, VA 22030-4000 2015-08-14
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1861724445 Carolyn Elizabeth Kuchel Counselor 4505 Shirley Gate Rd, Fairfax, VA 22030-5522 2010-02-05
1982938361 William Alberti Prasad Counselor 4100 Chain Bridge Rd, 6-121, Fairfax, VA 22030-7003 2009-10-01
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1437223922 Life Line Addictions Foundation Inc. Counselor 10374 Democracy Ln Ste A, Fairfax, VA 22030-2557 2006-11-17
1932121290 Gail W Campbell Counselor 10390 Democracy Ln, Fairfax, VA 22030-2522 2006-07-24
1609898154 David Alan Jacobs Counselor 3900 Jermantown Rd Ste 200, Fairfax, VA 22030-4900 2006-07-24
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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