Staton, Deirdre Ann

Staton, Deirdre Ann is an individual health care provider with primary practice located at 1241 N Main St , Harrisonburg VA 22802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Staton, Deirdre Ann can be contacted via phone (540) 434-1941.

Contact Information

Primary practice address
1241 N Main St Harrisonburg VA 22802
Phone: (540) 434-1941
Fax: (540) 433-8277
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904003868 Virginia

Profile Details

NPI number 1184791030
LBN Legal business name Staton, Deirdre Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 7th, 2008 - about 16 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 1184791030 NPPES
Virginia Other O802775M SENTARA
Virginia MEDICAID 004945166 SENTARA
Virginia Other 248828 SENTARA

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