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
Phone: (703) 752-4178
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306895032 | NPPES |
Virginia | MEDICAID | 008932018 | |
Virginia | Other | F087 0001 | |
Virginia | Other | 138370 |
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