Daniel, Deborah Lynn

Daniel, Deborah Lynn is an sole proprietor health care provider with primary practice located at 1133 Jefferson Green Cir , Midlothian VA 23113-4300. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Daniel, Deborah Lynn can be contacted via phone (804) 717-1111.

Contact Information

Primary practice address
1133 Jefferson Green Cir Midlothian VA 23113-4300
Phone: (804) 717-1111
Fax: (804) 717-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2044 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904002044 Virginia

Profile Details

NPI number 1104907104
LBN Legal business name Daniel, Deborah Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Dec 18th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104907104 NPPES
Virginia MEDICAID 1104907104
Virginia Other 190000809

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