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Pamela Haefner, LCSW

Social Worker, Clinical in Leesburg, VA. Individual provider (NPI-1).

NPI number1124433487
StatusActive
Last updated in NPPESJun 25, 2014

Details

NPI
1124433487
Entity type
Individual (NPI-1)
Name
Pamela Haefner
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 25, 2014
Last updated
Jun 25, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical0904002760VAYes

Practice location

3 Royal St Se
Leesburg, VA 20175-3015

Phone 703-777-1122

Mailing address

3 Royal St Se
Leesburg, VA 20175-3015

Phone 703-777-1122

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinical Social Worker providers in Leesburg, VA

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