Tejada, Kelly

Tejada, Kelly is an sole proprietor health care provider with primary practice located at 19 E Market St , Leesburg VA 20176-3004. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tejada, Kelly can be contacted via phone (703) 727-2544.

Contact Information

Primary practice address
19 E Market St Leesburg VA 20176-3004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 22265 Maryland
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC50082678 District of Columbia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904011780 Virginia

Profile Details

NPI number 1508306598
LBN Legal business name Tejada, Kelly
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2017
Last updated Sep 6th, 2022 - about 4 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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