Michael Allison Ridge, LCSW | |
10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501 | |
(703) 667-0752 | |
Not Available |
Full Name | Michael Allison Ridge |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 12 Years |
Location | 10615 Judicial Dr Ste 301, Fairfax, 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 |
---|---|---|---|
1114699048 | NPI | - | NPPES |
0904009175 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF SOCIAL WORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009175 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northern Virginia Older Adult Counseling | 5294039608 | 17 |
Entity Name | Northern Virginia Older Adult Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831569896 PECOS PAC ID: 5294039608 Enrollment ID: O20160205000052 |
Mailing Address | Practice Location Address |
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Michael Allison Ridge, LCSW 502 W Broad St Apt 317, Falls Church, VA 22046-3244 Ph: (703) 966-9658 | Michael Allison Ridge, LCSW 10615 Judicial Dr Ste 301, Fairfax, VA 22030-7501 Ph: (703) 667-0752 |
Ms. Diana Marcela Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 Phone: 703-321-2687 | |
Cherelle Monea' Washington, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 415-424-4266 Fax: 415-520-6633 | |
Trisha Marie Hindy Burks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000 | |
Mrs. Irene Carol Ilachinski, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10400 Eaton Pl, Ste 200, Fairfax, VA 22030 Phone: 703-497-1771 Fax: 703-497-1225 | |
Ms. Sandra M Mansfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Lee Highway, Suite 300, Fairfax, VA 22031 Phone: 703-207-2810 Fax: 703-207-2838 | |
Anna Lee Koozmin, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-324-7100 | |
Julia Lynn Converse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000 |