Marisa T Nieves, LCSW | |
1900 E Cary St, Richmond, VA 23223-6986 | |
(804) 405-0851 | |
Not Available |
Full Name | Marisa T Nieves |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1900 E Cary St, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801411707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | C012955 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 0904013278 (Virginia) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
Mailing Address | Practice Location Address |
---|---|
Marisa T Nieves, LCSW Po Box 8117, Richmond, VA 23223-0217 Ph: (910) 229-1862 | Marisa T Nieves, LCSW 1900 E Cary St, Richmond, VA 23223-6986 Ph: (804) 405-0851 |
Mr. J. Patrick Slifka, LCSW, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5002 Monument Avenue Suite 201, Richmond, VA 23230 Phone: 804-497-4676 Fax: 804-497-4677 | |
Mrs. Hope L. Helton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Moorefield Park Dr, Suite 202, Richmond, VA 23236 Phone: 804-272-7611 Fax: 804-560-5574 | |
Kristi Difilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900 | |
Richara Shepperson-turner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 N Ninth St, Richmond, VA 23219 Phone: 804-780-7312 | |
Sarah Metz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Broad St, Richmond, VA 23230 Phone: 804-353-4461 | |
Melissa-irene Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2219 W Main St, Richmond, VA 23220 Phone: 804-234-3158 | |
Kimberly Embe-mamong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 E Laburnum Ave Ste 3, Richmond, VA 23222 Phone: 804-277-9892 |