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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904005251 | VA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | N/A | 05 |
Street Address |
8680 HOSPITAL WAY |
City | MANASSAS |
State | VA |
Zip Code | 20110-4287 |
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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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 |
Find all providers in zip 20110 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
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 |
Find all providers in MANASSAS |
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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.