Sandra Giles Boo, LCSW
Individual provider Active NPI Clinical Social Worker · Centreville, VA
NPI 1255656369 · NPPES record last updated Mar 31, 2010
Key facts
- NPI
- 1255656369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904007146 (VA)
- Practice address
- 14474 Glencrest Cir
Centreville, VA 20120-4132 - Phone
- (571) 522-6130
- NPI assigned
- Mar 31, 2010
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904007146 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904007146 | VA | Yes |
Addresses
Primary practice location
14474 Glencrest Cir
Centreville, VA 20120-4132
Mailing address
14474 Glencrest Cir
Centreville, VA 20120-4132
Phone (571) 522-6130
Other providers in Centreville, VA
- Blessed Acupuncture LLC
- Taneka M. Blue
- Bluepoint Medical Associates LLC
- Bluepoint Wellness
- Amanda Faith Boettcher
- Barbara Borkowska
- Keri L Bortz
- Richard Boxley Bowles
- Thippawan Briggs
- Brighter Day Health LLC
All providers in Centreville, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.