Richie Calvin, DSW

Individual provider Active NPI Clinical Social Worker · Leesburg, VA

NPI 1932125705 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1932125705
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904001457 (VA)
Practice address
801 Childrens Center Rd SW
Graydon Manor
Leesburg, VA 20175-2545
Phone
(703) 777-3485
Fax
(703) 777-4887
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0904001457VAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904001457 VA Yes

Addresses

Primary practice location

801 Childrens Center Rd SW
Graydon Manor
Leesburg, VA 20175-2545

Mailing address

801 Childrens Center Rd SW
Graydon Manor
Leesburg, VA 20175-2545
Phone (703) 777-3485

Other providers in Leesburg, VA

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

Sources for this page

Verify at the official NPI Registry.