Provider Demographics
NPI:1376546564
Name:KADET, JEANNE (LCSW, LSATP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:KADET
Suffix:
Gender:F
Credentials:LCSW, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5244 LYNGATE CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-1631
Mailing Address - Country:US
Mailing Address - Phone:703-508-4591
Mailing Address - Fax:703-425-4591
Practice Address - Street 1:5244 LYNGATE CT
Practice Address - Street 2:SUITE 200
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-1631
Practice Address - Country:US
Practice Address - Phone:703-508-4591
Practice Address - Fax:703-425-4591
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000013101YA0400X
VA09040001711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA571204205OtherGREAT WEST HEALTH CARE
VA571204205OtherNCPPO HEALTHCARE
VAJ619-0001OtherCAREFIRST BC BS INSURANCE
VA136809OtherANTHEM INSURANCE
VA108418OtherUNITED BEHAVIORAL HEALTH
VA282524000OtherMAGELLAN HEALTHCARE
VI571204205OtherPHCS HEALTHCARE
VA0007253377OtherAETNA INSURANCE
VA136810OtherANTHEM INSURANCE
VA571204205OtherUNITED HEALTHCARE
VI571204205OtherPHCS HEALTHCARE