Schroeder, Peter Stephen

Schroeder, Peter Stephen is an individual health care provider with primary practice located at 1800 Michael Faraday Dr Suite 206, Reston VA 20190-5354. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Schroeder, Peter Stephen can be contacted via phone (703) 862-7861.

Contact Information

Primary practice address
1800 Michael Faraday Dr Suite 206 Reston VA 20190-5354
Phone: (703) 862-7861
Fax: (703) 757-0341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904003867 Virginia

Profile Details

NPI number 1609815778
LBN Legal business name Schroeder, Peter Stephen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609815778 NPPES
Virginia MEDICAID 8913811
Virginia Other PV165120
Virginia Other 61840017
Virginia Other 285132
Virginia Other S7881
Virginia Other 7526040

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