Angel Bousman, | |
30 Technology Dr, Rocky Mount, VA 24151-3008 | |
(540) 483-5044 | |
(276) 632-0995 |
Full Name | Angel Bousman |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 30 Technology Dr, Rocky Mount, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548715097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009606 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Regional Community Services Board | 0345215208 | 25 |
Entity Name | Piedmont Regional Community Services Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699754010 PECOS PAC ID: 0345215208 Enrollment ID: O20090319000311 |
Mailing Address | Practice Location Address |
---|---|
Angel Bousman, 24 Clay St, Martinsville, VA 24112-2810 Ph: (276) 632-7128 | Angel Bousman, 30 Technology Dr, Rocky Mount, VA 24151-3008 Ph: (540) 483-5044 |
Lisa Talbot Long, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 30 Technology Dr, Rocky Mount, VA 24151 Phone: 540-483-5044 Fax: 540-483-0583 | |
Terri C Crews, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Technology Dr, Rocky Mount, VA 24151 Phone: 540-483-5044 Fax: 540-483-0583 | |
Charlotte Perdue, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Technology Dr, Rocky Mount, VA 24151 Phone: 540-483-5044 Fax: 276-632-0127 | |
Emily J Grantham, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Technology Dr, Rocky Mount, VA 24151 Phone: 276-632-7128 Fax: 276-632-0127 | |
Sharon Johnstone Perkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Technology Dr, Rocky Mount, VA 24151 Phone: 540-483-5044 Fax: 540-483-0583 | |
Ann Barnhart Minnix, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 290 S Main St Fl 2, Rocky Mount, VA 24151 Phone: 540-483-0312 Fax: 540-483-0343 |