Dr Gwendolyn B Thornton, PHD, LCSW | |
8051 Wistar Glen Dr, Henrico, VA 23228-3646 | |
(804) 638-9122 | |
Not Available |
Full Name | Dr Gwendolyn B Thornton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8051 Wistar Glen Dr, Henrico, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477269942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904001185 (Virginia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
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Dr Gwendolyn B Thornton, PHD, LCSW 8051 Wistar Glen Dr, Henrico, VA 23228-3646 Ph: (804) 638-9122 | Dr Gwendolyn B Thornton, PHD, LCSW 8051 Wistar Glen Dr, Henrico, VA 23228-3646 Ph: (804) 638-9122 |
Priscilla Helen Witwer, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4825 S Laburnum Ave, Henrico, VA 23231 Phone: 804-727-8100 Fax: 804-727-8580 | |
Priscilla Lee Herzberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12093-95 Gayton Rd, Henrico, VA 23238 Phone: 804-205-3408 Fax: 617-807-0958 | |
Brian Michael Mayer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9601 Gayton Rd, Henrico, VA 23238 Phone: 804-464-8250 | |
Robert D Osborn, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1421 Burning Tree Rd, Henrico, VA 23231 Phone: 804-218-4382 Fax: 804-486-5290 | |
Jennifer Anne Walker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2800 N Parham Rd Ste 210, Henrico, VA 23294 Phone: 804-263-7425 | |
Aaron Rowe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Northside Ave Ste 101, Henrico, VA 23228 Phone: 804-386-3246 | |
Diana Leigh Embler, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2606 Maplewood Rd, Henrico, VA 23228 Phone: 207-272-2996 Fax: 804-409-7583 |