Provider Demographics
NPI:1538145032
Name:RAMBO, KAREN BOOK (LCSW)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:BOOK
Last Name:RAMBO
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 1:305 RILEY ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3311
Mailing Address - Country:US
Mailing Address - Phone:703-359-9555
Mailing Address - Fax:
Practice Address - Street 1:5319 LEE HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1607
Practice Address - Country:US
Practice Address - Phone:703-359-9555
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040022031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB406 0001OtherBLUE CROSS BLUE SHIELD
VA126593OtherVALUE OPTIONS
VA5765099OtherAETNA
VA547750OtherMAGELLAN BEHAV.HEALTH