Malinda Abramovich, LCSW
Individual provider Active NPI Clinical Social Worker · Manassas, VA
NPI 1962051912 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1962051912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904011264 (VA)
- Practice address
- 7969 Ashton Ave
Manassas, VA 20109-2885 - Phone
- (703) 792-7800
- Fax
- (703) 792-5699
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201112002332 | VA | Practitioner - Clinical Social Worker | 3072923473 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prince William County Community Services Board | Current |
Accepting new patients | |
| Prince William County | Current |
Accepting new patients |
Locations
7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826
14011 Worth Ave
Ste 110
Woodbridge, VA 22192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904011264 | VA | Yes |
Addresses
Primary practice location
7969 Ashton Ave
Manassas, VA 20109-2885
Mailing address
7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7800
Other names
- Malinda Funk
Other providers in Manassas, VA
- Abiding Hope Counseling Services
- Akinwunmi O Abisogun
- Khalid Abousy
- About You Home Health Services
- Above Hospice and Palliative Care LLC
- Benjamin Daniel Abramowitz
- Chana-Rivka Abramson
- Chelsea Abrigo
- Deavianna Abrons
- Hend M Abu-Joudeh
All providers in Manassas, 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 Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.