JUNE MARIE BLOEDORN (NPI# 1255833232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255833232 |
| Entity Type | Individual |
| Full Name | JUNE MARIE BLOEDORN |
| Credential | MSW |
| Practice Address |
3616 Jermantown Rd Fairfax VA 22030-2941 |
| Practice Telephone | 7034604462 |
| Mailing Telephone | 7034604462 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
PPS-0602440 | VA | Behavioral Health & Social Service Providers |
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
3616 JERMANTOWN RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396242400 | Nora Lynne Joy | Social Worker | 8270 Willow Oaks Corporate Dr Rm 3059, Fairfax, VA 22031-4511 | 2018-04-06 |
| 1275039604 | Antoinette Tupper | Social Worker | 8270 Willow Oaks Corporate Dr # 3068, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1437652922 | Jennifer Lynch | Social Worker | 8270 Willow Oaks Corporate Dr # 3059, Fairfax, VA 22031-4511 | 2018-03-12 |
| 1659775294 | Elizabeth Romeo | Social Worker | 8270 Willow Oaks Corporate Dr Fl 3, Fairfax, VA 22031-4530 | 2014-10-10 |
| 1245846336 | Jeanne Veraska | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-09-23 |
| 1790399632 | Amy Marshall | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-09-08 |
| 1205440534 | Jaquese Simone Hawkins | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1578176426 | Rosemary Klapac Guimond | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-08-28 |
| 1730791294 | Nancy Salinas | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-08-17 |
| 1801407077 | Kaitlin Collier | Social Worker | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-08-12 |
| Find all providers in FAIRFAX | ||||
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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.