Neal, Ellen M.

Neal, Ellen M. is an sole proprietor health care provider with primary practice located at 297 Herndon Pkwy Suite 202, Herndon VA 20170-4474. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Neal, Ellen M. can be contacted via phone (703) 220-0107.

Contact Information

Primary practice address
297 Herndon Pkwy Suite 202 Herndon VA 20170-4474
Phone: (703) 220-0107
Fax: (703) 266-3677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006170 Virginia

Profile Details

NPI number 1114039476
LBN Legal business name Neal, Ellen M.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Aug 23rd, 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 1114039476 NPPES
Virginia Other 149790 MEDICARE PTAN
Virginia Other 11567919 MEDICARE PTAN

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