Diehl, Cherah Renee

Diehl, Cherah Renee is an individual health care provider with primary practice located at 14139 Potomac Mills Rd Kaiser Permanente Woodbridge Medical Center, Woodbridge VA 22192-4644. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Diehl, Cherah Renee can be contacted via phone (703) 460-8400.

Contact Information

Primary practice address
14139 Potomac Mills Rd Kaiser Permanente Woodbridge Medical Center Woodbridge VA 22192-4644
Phone: (703) 460-8400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006738 Virginia

Profile Details

NPI number 1417126095
LBN Legal business name Diehl, Cherah Renee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2008
Last updated Dec 6th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417126095 NPPES
Virginia MEDICAID 004945247

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