Doctor Name: | MS. JACQUELINE R FLEMING |
NPI Number: | 1083785547 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 0904002021 |
Business Practice Address: | 170 W Main Street 201 Purcellville, VA - 20132 |
Business Phone Number: | 5403388233 |
Business Fax Number: | 5403387260 |
Mailing Address: | Po Box 246, PURCELLVILLE |
State: | VA |
Postal Code: | 201340246 |
Phone Number: | 5403388233 |
Fax Number: | 5403387260 |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 0904002021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |