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Contact Information

INTEGRATED CLINICAL CONCEPTS
481 CARLISLE DRIVE
SUITE 112
HERNDON, VA20170
 Phone: 703-481-6001
 Fax: 703-481-5664
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for INTEGRATED CLINICAL CONCEPTS

NPI # 1447421920
LBN Legal business name INTEGRATED CLINICAL CONCEPTS
Authorized official JUDITH WALD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2008
Last updated 10/30/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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