Jesenia Alonso Arevalo
Individual provider Active NPI Clinical Social Worker · Centreville, VA
NPI 1831786060 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1831786060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904012536 (VA)
- Practice address
- 14469 Saint Germain Dr
Centreville, VA 20121-2225 - Phone
- (703) 321-6900
- NPI assigned
- Dec 22, 2020
- 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 |
|---|---|---|---|
| 0904012536 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012536 | VA | Yes |
Addresses
Primary practice location
14469 Saint Germain Dr
Centreville, VA 20121-2225
Mailing address
14469 Saint Germain Dr
Centreville, VA 20121-2225
Other providers in Centreville, VA
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- Stacy J Allouche
- Barbra Almond
- Sarah Leann Alvarez
- Abdul Jamil Aman
- John Amantea
- Gregory Anderson
- Phyllis Margo Anderson
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 Dec 22, 2020. 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.