Ponomarenko, Tania

Ponomarenko, Tania is an sole proprietor health care provider with primary practice located at 6842 Elm St Ste 104 , Mc Lean VA 22101-3844. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ponomarenko, Tania can be contacted via phone (703) 752-4178.

Contact Information

Primary practice address
6842 Elm St Ste 104 Mc Lean VA 22101-3844
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002059 Virginia

Profile Details

NPI number 1306895032
LBN Legal business name Ponomarenko, Tania
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2006
Last updated Mar 2nd, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306895032 NPPES
Virginia MEDICAID 008932018
Virginia Other F087 0001
Virginia Other 138370

Popular Providers