Mischtschuk, Mary

Mischtschuk, Mary is an individual health care provider with primary practice located at 12721 Darby Brook Ct Ste 102 , Woodbridge VA 22192-2408. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mischtschuk, Mary can be contacted via phone (703) 879-5144.

Contact Information

Primary practice address
12721 Darby Brook Ct Ste 102 Woodbridge VA 22192-2408
Phone: (703) 879-5144
Fax: (703) 879-5860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10740 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50081376 District of Columbia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904005510 Virginia

Profile Details

NPI number 1043293012
LBN Legal business name Mischtschuk, Mary
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 7th, 2017 - about 7 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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