Charles R Walsh Jr, LCSW | |
9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 | |
(804) 693-5068 | |
(804) 639-7407 |
Full Name | Charles R Walsh Jr |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 9228 George Washington Memorial Hwy, Gloucester, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205891546 | NPI | - | NPPES |
250210 | Medicaid | VA | |
O85330 | Medicaid | VA | |
250212 | Other | VA | HEALTHKEEPERS |
250210 | Other | VA | ANTHEM |
250212 | Other | VA | ANTHEM |
250210 | Other | VA | HEALTHKEEPERS |
250212 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904001982 (Virginia) | Primary |
Entity Name | Middle Peninsula Northern Neck Mental Health & Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497717615 PECOS PAC ID: 1254235989 Enrollment ID: O20031124000358 |
Mailing Address | Practice Location Address |
---|---|
Charles R Walsh Jr, LCSW 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 Ph: (804) 693-5068 | Charles R Walsh Jr, LCSW 9228 George Washington Memorial Hwy, Gloucester, VA 23061-4162 Ph: (804) 693-5068 |
Celeste Carmody, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-693-5057 Fax: 804-695-8122 | |
Joe Meador, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8120 Fax: 804-695-8122 | |
Mrs. Lynn J Mccrobie, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-695-8119 Fax: 804-693-7407 | |
Susan Trotman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7892 George Mason Dr, Gloucester, VA 23061 Phone: 757-510-0201 | |
Shahana N Garner, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9228 George Washington Memorial Hwy, Gloucester, VA 23061 Phone: 804-693-5068 Fax: 804-693-7407 | |
Mr. Clifford J. Bottorff, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7580 Hospital Dr, Sutie 201, Gloucester, VA 23061 Phone: 804-693-0810 Fax: 804-693-0211 |