Kenneth L Labasky, LCSW | |
3300 Academy Ave, Portsmouth, VA 23703-3205 | |
(757) 483-6404 | |
(757) 483-0737 |
Full Name | Kenneth L Labasky |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 44 Years |
Location | 3300 Academy Ave, Portsmouth, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003803453 | NPI | - | NPPES |
087978 | Other | VA | ANTHEM |
080709 | Other | VA | SENTARA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904000814 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Churchland Psychiatric Associates Pc | 5799776654 | 14 |
Entity Name | Churchland Psychiatric Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740359223 PECOS PAC ID: 5799776654 Enrollment ID: O20040519001370 |
Mailing Address | Practice Location Address |
---|---|
Kenneth L Labasky, LCSW 3300 Academy Ave, Portsmouth, VA 23703-3205 Ph: (757) 483-6404 | Kenneth L Labasky, LCSW 3300 Academy Ave, Portsmouth, VA 23703-3205 Ph: (757) 483-6404 |
Mrs. Willar Mae Baum, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9767 Fax: 757-953-9995 | |
Mrs. Ashley Irene Dyke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2817 | |
Mr. Frederick Arthur Noble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3810 High St, Portsmouth, VA 23707 Phone: 757-433-2529 Fax: 757-433-2472 | |
J. Kellie Young Evans, LCSW,CSTOP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1805 Airline Blvd, Portsmouth, VA 23707 Phone: 757-397-2121 Fax: 757-399-3316 | |
Ms. Patricia Anne Peters, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Social Work Department, Portsmouth, VA 23708 Phone: 757-953-5008 | |
Mary Baumgartner Levner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Riverview Ave, Portsmouth, VA 23704 Phone: 515-231-8118 |