Brent Alan Schildt, | |
20 W Bank St, Petersburg, VA 23803-3279 | |
(804) 722-4299 | |
Not Available |
Full Name | Brent Alan Schildt |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 20 W Bank St, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417684515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904014069 (Virginia) | Primary |
Entity Name | District 19 Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225094451 PECOS PAC ID: 4082502398 Enrollment ID: O20040421001639 |
Mailing Address | Practice Location Address |
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Brent Alan Schildt, 20 W Bank St Ste 3, Petersburg, VA 23803-3279 Ph: (804) 731-3539 | Brent Alan Schildt, 20 W Bank St, Petersburg, VA 23803-3279 Ph: (804) 722-4299 |
Mrs. Carla Felicia Jones, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5923 Church Rd, Petersburg, VA 23803 Phone: 804-721-6750 Fax: 804-957-6389 | |
Mrs. Morgan Honickel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601 | |
Stephen L Murphy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 Fax: 804-518-1340 | |
Mrs. Susan Woodford Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26317 W Washington St, Petersburg, VA 23803 Phone: 804-921-2100 | |
John Salay, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 | |
Tonette S Robertson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Petersburg, VA 23803 Phone: 804-862-8000 | |
Charles E. Hodges Jr., LCSW, CSOTP Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-868-0070 |