Clinton Lee Brogdon, LPC - Counselor in Fairfax, VA

Clinton Lee Brogdon, LPC is a Counselor - Professional based in Fairfax, Virginia. Clinton Lee Brogdon is licensed to practice in Virginia (license number 0701007411) and his current practice location is 11204 Waples Mill Rd, Fairfax, Virginia. He can be reached at his office (for appointments etc.) via phone at (703) 218-8500.

NPI number for Clinton Lee Brogdon is 1457880684 and his current mailing address is Po Box 230444, Centreville, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457880684.

Contact Information

Clinton Lee Brogdon, LPC
11204 Waples Mill Rd,
Fairfax, VA 22030-6036
(703) 218-8500
(703) 359-0463

Map and Direction


Healthcare Provider's Profile

Full NameClinton Lee Brogdon
GenderMale
SpecialityCounselor - Professional
Location11204 Waples Mill Rd, Fairfax, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457880684
  • Provider Enumeration Date: 06/10/2017
  • Last Update Date: 04/01/2020

Medical Identifiers

Medical identifiers for Clinton Lee Brogdon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457880684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
101YP2500XCounselor - Professional 0701007411 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clinton Lee Brogdon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clinton Lee Brogdon, LPC
Po Box 230444,
Centreville, VA 20120-0444

Ph: (571) 528-0805
Clinton Lee Brogdon, LPC
11204 Waples Mill Rd,
Fairfax, VA 22030-6036

Ph: (703) 218-8500

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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