Catherine Elizabeth Medina, LCSW | |
9407 Cumberland Rd, New Kent, VA 23124-2029 | |
(800) 368-3472 | |
(804) 966-5639 |
Full Name | Catherine Elizabeth Medina |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9407 Cumberland Rd, New Kent, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801083100 | NPI | - | NPPES |
004945018 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904006853 (Virginia) | Primary |
Entity Name | Chesterfield Family Guidance Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225192909 PECOS PAC ID: 5799762712 Enrollment ID: O20040707000513 |
Mailing Address | Practice Location Address |
---|---|
Catherine Elizabeth Medina, LCSW 9407 Cumberland Rd, New Kent, VA 23124-2029 Ph: (800) 368-3472 | Catherine Elizabeth Medina, LCSW 9407 Cumberland Rd, New Kent, VA 23124-2029 Ph: (800) 368-3472 |
Donna Lilian Sepulveda, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7501 Egypt Rd, New Kent, VA 23124 Phone: -- | |
Ms. Elizabeth Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9407 Cumberland Rd, New Kent, VA 23124 Phone: 800-368-3472 | |
Latenya Monique Witcher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9407 Cumberland Road, New Kent, VA 23124 Phone: 804-966-2242 Fax: 804-966-5639 | |
Jamie A Kelman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9407 Cumberland Rd, New Kent, VA 23124 Phone: 804-966-2242 | |
Ms. Suanne Taneal Massey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9407 Cumberland Road, New Kent, VA 23124 Phone: 804-966-2242 Fax: 804-966-5639 | |
Ellison Spencer-helms, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9407 Cumberland Rd, New Kent, VA 23124 Phone: 804-966-1750 |