Berube, Karen J
Berube, Karen J is an individual health care provider with primary practice located at 8001 Forbes Place , Springfield VA 22151. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Berube, Karen J can be contacted via phone (703) 321-2600.Contact Information
Primary practice address
8001 Forbes Place
Springfield VA 22151
Phone: (703) 321-2600
Fax: (703) 321-2603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Virginia |
Profile Details
| NPI number | 1033205802 |
|---|---|
| LBN Legal business name | Berube, Karen J |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033205802 | NPPES |
| Virginia | MEDICAID | 8912467 |
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