Slaughter, Renea
Slaughter, Renea is an individual health care provider with primary practice located at 5000 Thayer Ctr Ste C , Oakland MD 21550-1139. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Slaughter, Renea can be contacted via phone (703) 718-6811.Contact Information
Primary practice address
5000 Thayer Ctr Ste C
Oakland MD 21550-1139
Phone: (703) 718-6811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC200001507 | District of Columbia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 28095 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904011327 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C008747 | North Carolina |
Profile Details
| NPI number | 1013307933 |
|---|---|
| LBN Legal business name | Slaughter, Renea |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2015 |
| Last updated | Nov 8th, 2023 - about last year |
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 | 1013307933 | NPPES |
| Virginia | Other | 0904011327 | LICENSE |
| Virginia | Other | 28095 | LICENSE |
| Virginia | Other | C008747 | LICENSE |
| Virginia | Other | LC200001507 | LICENSE |
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