Wooldridge, Mary Jane

Wooldridge, Mary Jane is an sole proprietor health care provider with primary practice located at 700 Southridge Pkwy Suite 301, Culpeper VA 22701-3723. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wooldridge, Mary Jane can be contacted via phone (540) 829-2393.

Contact Information

Primary practice address
700 Southridge Pkwy Suite 301 Culpeper VA 22701-3723
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904003463 Virginia

Profile Details

NPI number 1306986401
LBN Legal business name Wooldridge, Mary Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 18 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 1306986401 NPPES
Virginia MEDICAID 008911339

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