Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 0904008673 | VA |
Y | 1041C0700X | Clinical Social Worker | LC50079084 | DC |
NPI | 1003263666 |
---|---|
Provider Name | Mrs. Morgan Bishop Ritacco |
First Address | Annandale, VA 22003-5831 |
Second Address | Annandale, VA 22003-5831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2016 |
Last Update Date | 24/05/2016 |