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Contact Information

MADELINE P JURICH, LCSW
1800 TOWN CENTER DR
STE 411
RESTON, VA20190
 Phone: 703-437-3236
 Fax: 703-435-7422
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MADELINE P JURICH · (Female)

NPI # 1093805236
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0904002351
  • Other 127232 VALUE OPTIONS
  • VA Other 101380 ANTHEM BCBS
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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