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Contact Information

KENT P RADWANI, LCSW
9403 POCOHONTAS TRAIL
PROVIDENCE FORGE, VA23140
 Phone: 804-966-5959
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KENT P RADWANI · (Male)

NPI # 1104902477
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/30/2006
Last updated 06/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904002086
  • VA Other 177161 ANTHEM
  • VA Other 088888 SENTARA
  • VA Other 4945131 VIRGINIA PREMIER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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