Bethany L Gravely, | |
1333 Southview Dr, Bluefield, WV 24701 | |
(304) 327-9205 | |
(304) 327-9210 |
Full Name | Bethany L Gravely |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1333 Southview Dr, Bluefield, West 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 |
---|---|---|---|
1245732262 | NPI | - | NPPES |
36-4567127 | Other | WV | LIFE STRATEGIES |
1093891335 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00945274 (West Virginia) | Primary |
1041C0700X | Social Worker - Clinical | 0904010393 (Virginia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Princeton Community Hospital Assn. Inc. | 3678482221 | 138 |
Entity Name | Princeton Community Hospital Assn. Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
Entity Name | Life Strategies Counseling Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700837143 PECOS PAC ID: 6002819687 Enrollment ID: O20060821000561 |
Mailing Address | Practice Location Address |
---|---|
Bethany L Gravely, 118 12th Street, Princeton, WV 24740-9040 Ph: (304) 431-5168 | Bethany L Gravely, 1333 Southview Dr, Bluefield, WV 24701 Ph: (304) 327-9205 |
Mrs. Phyllis G Hasty, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 Jefferson St, Suite 2, Bluefield, WV 24701 Phone: 304-327-5331 Fax: 304-327-5336 | |
Virginia Chryssikos, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 Phone: 304-800-5923 Fax: 304-800-5934 | |
Ms. Judy C. Smith, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Rr 5 Box 42, Nutmeg Place, Bluefield, WV 24701 Phone: 304-888-0077 |