Bartakke, Naomi Phyllis

Bartakke, Naomi Phyllis is an individual health care provider with primary practice located at 11250 Roger Bacon Dr Suite 6, Reston VA 20190-5219. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bartakke, Naomi Phyllis can be contacted via phone (571) 250-6978.

Contact Information

Primary practice address
11250 Roger Bacon Dr Suite 6 Reston VA 20190-5219
Phone: (571) 250-6978
Fax: (877) 334-0608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904001922 Virginia

Profile Details

NPI number 1871837781
LBN Legal business name Bartakke, Naomi Phyllis
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 14 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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