Jacqueline Guevara Llc

LBN: Jacqueline Guevara Llc
Jacqueline Guevara Llc is an health care organization with primary practice located at 601 King Street, #260 , Alexandria VA 22314. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jacqueline Guevara Llc can be contacted via phone (240) 392-1684, or through Guevara, Jacqueline J via phone (240) 392-1684.

Contact Information

Primary practice address
601 King Street, #260 Alexandria VA 22314
Phone: (240) 392-1684
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guevara, Jacqueline J Licensed Clinical Social Worker (LCSW)
Phone: (240) 392-1684

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904009490 Virginia

Profile Details

NPI number 1780164665
LBN Legal business name Jacqueline Guevara Llc
DBA Doing business as
Authorized official Guevara, Jacqueline J Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2018
Last updated Oct 5th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780164665 NPPES
Virginia MEDICAID 1326559758

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