Angela Webb Deem, LCSW

Individual provider Active NPI Clinical Social Worker · Covington, VA

NPI 1104369602 · NPPES record last updated Dec 1, 2016

Key facts

NPI
1104369602
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904009683 (VA)
Practice address
104 Sherry May St
Covington, VA 24426-6000
Phone
(540) 965-1373
Fax
(540) 965-1393
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904009683 VA Yes

Addresses

Primary practice location

104 Sherry May St
Covington, VA 24426-6000

Mailing address

104 Sherry May St
Covington, VA 24426-6000
Phone (540) 965-1373

Other providers in Covington, VA

All providers in Covington, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.