Brown, Walter Allen
Brown, Walter Allen is an individual health care provider with primary practice located at 720 N Saint Asaph St , Alexandria VA 22314-1912. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Brown, Walter Allen can be contacted via phone (708) 838-6400.Contact Information
Primary practice address
720 N Saint Asaph St
Alexandria VA 22314-1912
Phone: (708) 838-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904001577 | Virginia |
Profile Details
| NPI number | 1952464414 |
|---|---|
| LBN Legal business name | Brown, Walter Allen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952464414 | NPPES |
| Virginia | Other | 270291 | AMERIGROUP VIRGINIA INC. |
| Virginia | MEDICAID | 0045026 | AMERIGROUP VIRGINIA INC. |
| Virginia | Other | 188803 | AMERIGROUP VIRGINIA INC. |
| Virginia | Other | 0033 | AMERIGROUP VIRGINIA INC. |
| Virginia | Other | 540001103002 | AMERIGROUP VIRGINIA INC. |
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