John D Young, LCSW | |
241 Greenhouse Rd, Attn: Stephanie Black, Lexington, VA 24450-3717 | |
(540) 463-3141 | |
(540) 464-4051 |
Full Name | John D Young |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 241 Greenhouse Rd, Lexington, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023015427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904005610 (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 |
---|---|
John D Young, LCSW 241 Greenhouse Rd, Attn: Stephanie Black, Lexington, VA 24450-3717 Ph: (540) 463-3141 | John D Young, LCSW 241 Greenhouse Rd, Attn: Stephanie Black, Lexington, VA 24450-3717 Ph: (540) 463-3141 |
Michael James Gibbons, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 30 Crossing Ln Ste 201, Lexington, VA 24450 Phone: 540-319-0053 Fax: 540-492-5581 | |
Kenneth W Farrar, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Greenhouse Rd, Lexington, VA 24450 Phone: 540-463-3141 Fax: 540-464-4051 | |
Natasha Sylvest Walsh, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 120 W Nelson St, Lexington, VA 24450 Phone: 540-460-4671 | |
Samantha Layne Hoke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Greenhouse Rd, Lexington, VA 24450 Phone: 540-463-3141 Fax: 540-462-6706 | |
Teresa Elaine Bsullak, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 241 Greenhouse Rd, Attn Stephanie Black, Lexington, VA 24450 Phone: 540-463-3141 Fax: 540-464-4051 | |
Kathleen M. Flynn, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 315 Myers St, Lexington, VA 24450 Phone: 540-463-1848 |