Provider Demographics
NPI:1174670772
Name:ZABLOTNY, BETTYE B (LCSW-C)
Entity Type:Individual
Prefix:
First Name:BETTYE
Middle Name:B
Last Name:ZABLOTNY
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 ARIEL DR NE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2202
Mailing Address - Country:US
Mailing Address - Phone:703-481-8955
Mailing Address - Fax:
Practice Address - Street 1:274 ARIEL DR NE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-2202
Practice Address - Country:US
Practice Address - Phone:703-481-8955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040029521041C0700X
MD065931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAIPO88082OtherMAGELLAN BEHAVIORAL HEALT
VA334390OtherANTHEM
VA082509OtherVALUEOPTIONS
VA125918OtherVALUEOPTIONS NORTHEAST
VA8912700Medicaid
VA248819000OtherMAGELLAN
VA334390OtherBCBS
VAIPO88082OtherMAGELLAN BEHAVIORAL HEALT