Lacy Jean Jordan White, LCSW | |
209 W Criser Rd, Front Royal, VA 22630-2360 | |
(540) 636-2931 | |
(540) 635-3080 |
Full Name | Lacy Jean Jordan White |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 209 W Criser Rd, Front Royal, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114408150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904010528 (Virginia) | Primary |
Entity Name | Mental Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 6002701356 Enrollment ID: O20040217000340 |
Entity Name | Fairfax County, Virginia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
Mailing Address | Practice Location Address |
---|---|
Lacy Jean Jordan White, LCSW 209 W Criser Rd, Front Royal, VA 22630-2360 Ph: (540) 636-2931 | Lacy Jean Jordan White, LCSW 209 W Criser Rd, Front Royal, VA 22630-2360 Ph: (540) 636-2931 |
Renee D Stavish, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 N Shenandoah Ave, Front Royal, VA 22630 Phone: 540-636-0315 Fax: 540-636-0247 | |
Ms. Judith Anne Powell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 W Criser Rd, Suite 300, Front Royal, VA 22630 Phone: 540-635-4804 Fax: 540-635-3080 | |
Ms. Martha Cecelia Neely, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 64 Chester St, Front Royal, VA 22630 Phone: 540-635-6119 Fax: 540-635-6140 | |
Kelly L Barnhill, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 W Main St, Front Royal, VA 22630 Phone: 540-692-9008 | |
Ms. Danette Gyovai Kesner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 209 W Criser Rd, Front Royal, VA 22630 Phone: 703-216-4278 Fax: 540-635-4080 | |
Mr. George R Dupuy V, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 209 W Criser Rd Ste 300, Front Royal, VA 22630 Phone: 540-636-4250 |