Provider Demographics
NPI:1447326426
Name:BLECHL, CAROL FRANCES (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:FRANCES
Last Name:BLECHL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12644 CHAPEL RD STE 207
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-8000
Mailing Address - Country:US
Mailing Address - Phone:703-407-6067
Mailing Address - Fax:
Practice Address - Street 1:12644 CHAPEL RD STE 207
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:VA
Practice Address - Zip Code:20124-8000
Practice Address - Country:US
Practice Address - Phone:703-407-6067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040061671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA185202OtherBLUE CROSS BLUE SHIELD
VA4945247Medicaid
VA293946OtherAMERIGROUP
VA185202OtherHEALTHKEEPERS PLUS
VA185202OtherBLUE CROSS BLUE SHIELD