Kimberly Waine Gore, LCSW | |
1651 Merrimac Trl Bldg 1, Williamsburg, VA 23185-5624 | |
(757) 220-3200 | |
(757) 253-4118 |
Full Name | Kimberly Waine Gore |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1651 Merrimac Trl Bldg 1, Williamsburg, 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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1700485927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 0904012385 (Virginia) | Primary |
Entity Name | Middle Peninsula Northern Neck Mental Health & Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497717615 PECOS PAC ID: 1254235989 Enrollment ID: O20031124000358 |
Mailing Address | Practice Location Address |
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Kimberly Waine Gore, LCSW 8435 Taverns Ln, Toano, VA 23168-8000 Ph: (757) 218-5133 | Kimberly Waine Gore, LCSW 1651 Merrimac Trl Bldg 1, Williamsburg, VA 23185-5624 Ph: (757) 220-3200 |
Ms. Crystal G Perkins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 921 Capitol Landing Rd, Williamsburg, VA 23185 Phone: 757-253-4074 | |
Marilyn Rork, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1657 Merrimac Trl, Williamsburg, VA 23185 Phone: 757-220-3200 Fax: 757-253-4371 | |
Ms. Sarah Mcneely Byrne, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1769 Jamestown Rd, Williamsburg, VA 23185 Phone: 757-784-8940 | |
Philisha Woodard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1117 Old Colony Ln Ste A, Williamsburg, VA 23185 Phone: 757-204-5928 | |
Lauren Dickey Faisant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1657 Merrimac Trl, Williamsburg, VA 23185 Phone: 757-220-3200 | |
Brenda Janine Lee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3955 Strawberry Plains Rd, Williamsburg, VA 23188 Phone: 757-912-1842 | |
Lisa Marie Cassidy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1315 Jamestown Rd Ste 203, Williamsburg, VA 23185 Phone: 757-603-4603 Fax: 757-257-9146 |