Jessica Renee Miller, LCSW | |
11835 Hazel Circle Dr, Bristow, VA 20136-1223 | |
(703) 310-7378 | |
(866) 244-0065 |
Full Name | Jessica Renee Miller |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 11835 Hazel Circle Dr, Bristow, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124478979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904011234 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellspring Child And Family Psychology, Pc | 5294036513 | 9 |
Entity Name | Wellspring Child And Family Psychology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477962421 PECOS PAC ID: 5294036513 Enrollment ID: O20151210001323 |
Mailing Address | Practice Location Address |
---|---|
Jessica Renee Miller, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: (703) 310-7378 | Jessica Renee Miller, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: (703) 310-7378 |
Chidera B Anumudu, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-659-9900 | |
Aubrey Anne New, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-396-7605 | |
Kathleen Lucy Persson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 | |
Cindy Lin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10020 Three Sisters Ct, Bristow, VA 20136 Phone: 703-989-9808 | |
Mrs. Tracy Eileen Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 | |
Mrs. Mayra Yasmin Castro Castro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-368-7995 |