| Mrs Loren Berdequez, LCSW | |
| 8680 Hospital Way, Manassas, VA 20110-4287 | |
| (703) 369-8055 | |
| (703) 369-8565 | 
| Full Name | Mrs Loren Berdequez | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 8680 Hospital Way, Manassas, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134112402 | NPI | - | NPPES | 
| N/A | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005251 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Loren Berdequez, LCSW 8680 Hospital Way, Manassas, VA 20110-4287 Ph: (703) 369-8055 | Mrs Loren Berdequez, LCSW 8680 Hospital Way, Manassas, VA 20110-4287 Ph: (703) 369-8055 | 
| Mrs. Cynthia Rebecca Lane-hand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
| Ms. Linda Diana Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10530 Linden Lake Plz, 200, Manassas, VA 20109 Phone: 703-392-6707 | |
| Jennifer Sarisky, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8575 Rixlew Ln, Manassas, VA 20109 Phone: 301-593-1315 Fax: 301-681-4699 | |
| Kelly Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10535 Crestwood Dr, Suite 201, Manassas, VA 20109 Phone: 703-492-2686 | |
| Mary Lou Fahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
| Jacquelyn Marie Brannock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
| Gia Thi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7982 Donegan Drive, Manassas, VA 20109 Phone: 571-723-9461 |