Provider Demographics
NPI:1720673064
Name:RAINER-SKALA, MARGUERITE MARY (LCSW)
Entity type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:MARY
Last Name:RAINER-SKALA
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 1:30 CATOCTIN CIR SW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175
Mailing Address - Country:US
Mailing Address - Phone:571-206-5702
Mailing Address - Fax:
Practice Address - Street 1:30 CATOCTIN CIR SW
Practice Address - Street 2:SUITE 201
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-2017
Practice Address - Country:US
Practice Address - Phone:571-206-5702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040034821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical