Kassandra Rae Kintzios, LCSW | |
8310 Midlothian Tpke, North Chesterfield, VA 23235-5163 | |
(804) 447-6382 | |
(804) 447-6383 |
Full Name | Kassandra Rae Kintzios |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8310 Midlothian Tpke, North Chesterfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225889470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (Virginia) | Primary |
Entity Name | Lighthouse Behavioral Health Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982952545 PECOS PAC ID: 5092021949 Enrollment ID: O20150908003108 |
Mailing Address | Practice Location Address |
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Kassandra Rae Kintzios, LCSW 2410 Grove Ave Apt 3, Richmond, VA 23220-4481 Ph: (703) 300-2808 | Kassandra Rae Kintzios, LCSW 8310 Midlothian Tpke, North Chesterfield, VA 23235-5163 Ph: (804) 447-6382 |
Ilona Schenk-cherry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 563 Southlake Blvd, North Chesterfield, VA 23236 Phone: 570-412-2043 | |
Jillian Giannelli, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 707 N Courthouse Rd, North Chesterfield, VA 23236 Phone: 804-924-2236 | |
Shapall King, LMHP-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 N Courthouse Rd Ste 201-e, North Chesterfield, VA 23236 Phone: 804-556-2049 Fax: 804-800-2282 | |
Mr. Raymond G Keohane, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9111 Broadstone Rd, North Chesterfield, VA 23236 Phone: 804-314-3977 | |
Ms. Vicki Ipsen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9327 Midlothian Tpke, Suite 2a, North Chesterfield, VA 23235 Phone: 804-658-3298 Fax: 804-912-2546 | |
Ms. Ashley Lauren Floyd, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9513 Hull Street Rd Ste A, North Chesterfield, VA 23236 Phone: 804-608-9389 Fax: 804-763-3453 | |
Mrs. Nikole Rohana Jiggetts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 555 Southlake Blvd Ste C4, North Chesterfield, VA 23236 Phone: 804-516-4684 |