Wyckoff, Jodelle Anne

Wyckoff, Jodelle Anne is an individual health care provider with primary practice located at 21000 Education Ct , Broadlands VA 20148-5526. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / School is her primary health care specialty. Wyckoff, Jodelle Anne can be contacted via phone (571) 252-1011.

Contact Information

Primary practice address
21000 Education Ct Broadlands VA 20148-5526
Phone: (571) 252-1011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004399 North Carolina

Profile Details

NPI number 1831354117
LBN Legal business name Wyckoff, Jodelle Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2008
Last updated May 26th, 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.

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