MRS. LOREN BERDEQUEZ


Address: 8680 Hospital Way, Manassas, VA 20110-4287
Phone: 7033698055

MRS. LOREN BERDEQUEZ (NPI# 1134112402) 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) 1134112402
Entity Type Individual
Full Name MRS. LOREN BERDEQUEZ
Credential LCSW
Practice Address 8680 Hospital Way
Manassas
VA 20110-4287
Practice Telephone 7033698055
Practice Fax Number 7033698565
Mailing Telephone 7033698055
Mailing Fax Number 7033698565
Enumeration Date 2005-08-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
0904005251 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA N/A 05

Office Location

Street Address 8680 HOSPITAL WAY
City MANASSAS
State VA
Zip Code 20110-4287

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518950856 William Plaxco Psychologist 8680 Hospital Way, Manassas, VA 20110-4287 2005-08-23
1750937751 Patricia Obeng Nurse Practitioner 8680 Hospital Way, Manassas, VA 20110-4287 2019-08-15
1609360635 Kossi Pierre Eklou Nurse Practitioner 8680 Hospital Way, Manassas, VA 20110-4287 2018-06-22
1518322668 Nmg Affiliate Practice 1, LLC Psychiatry & Neurology 8680 Hospital Way, Manassas, VA 20110-4287 2015-12-16
1659770774 Nmg Affiliate Practice I, LLC Psychologist 8680 Hospital Way, Manassas, VA 20110-4287 2014-08-14
1427496496 Dana Mohl Nurse Practitioner 8680 Hospital Way, Manassas, VA 20110 2013-06-12
1659716918 Maria Elena Moreno Psychiatry & Neurology 8680 Hospital Way, Manassas, VA 20110 2013-04-30
1649598244 Partam Manalai Psychiatry & Neurology 8680 Hospital Way, Manassas, VA 20110 2010-05-07
1811124076 Nysa Marinda Paysour Psychiatry & Neurology 8680 Hospital Way, Manassas, VA 20110-4287 2009-06-16
1629277074 Karyn Flannagan Psychologist 8680 Hospital Way, Manassas, VA 20110-4287 2007-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184246787 Sini Eapen Nurse Practitioner 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 2020-05-18
1023662202 United Health Home Care Agency Registered Nurse 8789 Commerce Ct#202, Manassas, VA 20110 2019-07-26
1750868097 Elaine K. Sours, D.d.s., P.C. Dentist 8719 Plantation Lane, Manassas, VA 20110 2018-07-19
1962904573 Donielle Francis Specialist/Technologist 10420 Monterosa Pl, Manassas, VA 20110 2018-02-28
1003332354 Katrina Kask Occupational Therapist 6985 Centreville Rd., Manassas, VA 20110 2017-08-18
1477091478 Mega Health Services, Inc General Practice 9602 Champion Ct, Manassas, VA 20110 2017-02-09
1811340599 Malik Usman Dds, PC Dentist 8559 Sudley Road, Manassas, VA 20110 2016-07-19
1871944660 Chitra Subbaraj Physical Therapist 8595 Centreville Rd, Manassas, VA 20110 2016-06-23
1093186512 Daczkowski Orthodontics Dentist 8715 Stonewall Road, Manassas, VA 20110 2015-10-09
1851770366 Candace Fleming Counselor 9242b Mosby St, Manassas, VA 20110 2015-05-29
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275151854 Laura Zabel Social Worker 10220 Launch Circle #103, Manassas, VA 20109 2020-07-09
1396163770 Tavna Limage Social Worker 9390 Hidden Spring Dr, Manassas, VA 20112-2702 2014-04-02
1235561846 Resilience Human Services Inc. Social Worker 9602 Waterford Dr, Manassas, VA 20110-6607 2013-08-06
1720364136 Valerie Sears Social Worker 8811 Sudley Rd Ste 119, Manassas, VA 20110-4750 2011-10-30
1083992762 Jennifer J. Watson Social Worker 10755 Ambassador Dr Ste 201, Manassas, VA 20109-2527 2011-07-28
1427336478 Gregory Abernathy Social Worker 9853 Business Way, Manassas, VA 20110-4152 2011-07-25
1033405212 Linda Diana Malone Social Worker 10530 Linden Lake Plz, 200, Manassas, VA 20109-6434 2011-06-25
1841424637 Katharine Helene Mchugh Social Worker 8420 Dorsey Cir Ste 201, Manassas, VA 20110-8300 2009-05-07
1265608871 Jacqueline Leigh Bowen St Clair Social Worker 9300 Forest Point Cr, Manassas, VA 20110 2008-05-03
1396939856 Nanette M. Hoback, Lcsw Social Worker 7502 Diplomat Dr., Suite 101, Manassas, VA 20109-2631 2007-08-28
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Competitor

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City MANASSAS
Zip Code 20110

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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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