Harris, Derwin Darrell
Harris, Derwin Darrell is an individual health care provider with primary practice located at 5413 Backlick Rd Ste A , Springfield VA 22151-3915. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Harris, Derwin Darrell can be contacted via phone (571) 342-0045.Contact Information
Primary practice address
5413 Backlick Rd Ste A
Springfield VA 22151-3915
Phone: (571) 342-0045
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11899 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 09040012424 | Virginia |
Profile Details
| NPI number | 1952403115 |
|---|---|
| LBN Legal business name | Harris, Derwin Darrell |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Mar 10th, 2021 - about 5 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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