Katherine H Wallace, LCSW | |
600 Jackson St, Fredericksburg, VA 22401-5719 | |
(540) 373-3223 | |
(540) 371-3753 |
Full Name | Katherine H Wallace |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 9 Years |
Location | 600 Jackson St, Fredericksburg, 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 |
---|---|---|---|
1801385349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904010461 (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 |
---|---|
Katherine H Wallace, LCSW 600 Jackson St, Fredericksburg, VA 22401-5719 Ph: (540) 373-3223 | Katherine H Wallace, LCSW 600 Jackson St, Fredericksburg, VA 22401-5719 Ph: (540) 373-3223 |
Mrs. Terrila Ann Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10700 Ballantraye Dr, Suite 104, Fredericksburg, VA 22407 Phone: 540-841-4065 Fax: 540-301-0500 | |
Katherine Dervin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12000 Kennedy Ln, Suite 100, Fredericksburg, VA 22407 Phone: 540-548-2063 Fax: 540-548-2962 | |
Ms. Beth L Collins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 639 Kings Hwy, Fredericksburg, VA 22405 Phone: 540-850-1994 | |
Linda Mixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2217 Princess Anne St Ste 105-6, Fredericksburg, VA 22401 Phone: 540-809-8970 Fax: 540-373-2922 | |
Joyce Catherine Corbin Moya, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19003 Main Street, Fredericksburg, VA 22408 Phone: 540-684-8962 | |
Traci Lee Demerchant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10712 Ballantraye Dr, Suite 304, Fredericksburg, VA 22407 Phone: 540-242-8970 Fax: 540-710-9299 | |
Michelle Patton Swisher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8020 River Stone Dr, Fredericksburg, VA 22407 Phone: 540-834-2500 Fax: 540-834-2552 |