Jennifer Black, LCSW | |
609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 | |
(757) 312-8002 | |
(757) 312-9299 |
Full Name | Jennifer Black |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 609 Independence Pkwy Ste 115, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912370354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009158 (Virginia) | Primary |
Entity Name | Child & Family Services Of Eastern Virginia, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629158159 PECOS PAC ID: 7618009333 Enrollment ID: O20100715000882 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Black, LCSW 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 Ph: (757) 312-8002 | Jennifer Black, LCSW 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 Ph: (757) 312-8002 |
Ashley Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 Nottaway Dr, Chesapeake, VA 23320 Phone: 757-553-7698 | |
Dr. Linda Sue Mintle, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Watch Island Reach, Chesapeake, VA 23320 Phone: 757-549-2255 Fax: 757-549-2255 | |
Sentoria H Harold, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 920 Ventures Way Ste 4, Chesapeake, VA 23320 Phone: 757-752-5743 | |
Eileen Buck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Eden Way N Ste 123, Chesapeake, VA 23320 Phone: 757-698-4247 | |
Jacquelyn Feliciano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-819-6219 Fax: 757-819-6292 | |
Justin Kolaya, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-548-7000 | |
Josette M Creel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Great Bridge Blvd, City Of Chesapeake Ta Chesap. Comm.serv Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 |