Katherine Marie Illgen, LCSW, CCTP | |
6515 George Washington Mem Hwy, Yorktown, VA 23692-2182 | |
(757) 877-9140 | |
Not Available |
Full Name | Katherine Marie Illgen |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 6515 George Washington Mem Hwy, Yorktown, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174150429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 090411313 (Virginia) | Primary |
Entity Name | Hampton-newport News Community Services Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659424448 PECOS PAC ID: 0446247480 Enrollment ID: O20040429001348 |
Mailing Address | Practice Location Address |
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Katherine Marie Illgen, LCSW, CCTP 600 Medical Dr, Hampton, VA 23666-1769 Ph: (757) 788-0649 | Katherine Marie Illgen, LCSW, CCTP 6515 George Washington Mem Hwy, Yorktown, VA 23692-2182 Ph: (757) 877-9140 |
Ms. Laura Lee Bronstein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6515 George Washington Mem Hwy, Suite 100, Yorktown, VA 23692 Phone: 757-877-9140 Fax: 757-877-3925 | |
Ms. Angela Jeanne Giles, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 107-g Little Bay Avenue, Yorktown, VA 23693 Phone: 757-865-2318 | |
Lloyd Ezekiel Cloud, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5731 George Washington Mem Hwy Ste 4a, Yorktown, VA 23692 Phone: 860-301-1664 Fax: 757-890-6204 | |
Rachel Morgan Oliver, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6515 George Washington Mem Hwy Ste 100, Yorktown, VA 23692 Phone: 757-877-9140 Fax: 757-877-3925 | |
Ms. Tiffany Noel Edmonds Sullivan, LCSW, JD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Hampton Hwy, Yorktown, VA 23693 Phone: 757-865-1843 | |
Emmalyn Carter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6515 George Washington Mem Hwy Ste 100, Yorktown, VA 23692 Phone: 757-877-9140 Fax: 757-877-3925 |