Michelle Ann Maddalozzo, DSW, LCSW | |
77 Nealy Ave, Hampton, VA 23665-2040 | |
(757) 298-5657 | |
Not Available |
Full Name | Michelle Ann Maddalozzo |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 77 Nealy Ave, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306141981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 149.014331 (Illinois) | 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 |
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Michelle Ann Maddalozzo, DSW, LCSW 77 Nealy Ave, Hampton, VA 23665-2040 Ph: () - | Michelle Ann Maddalozzo, DSW, LCSW 77 Nealy Ave, Hampton, VA 23665-2040 Ph: (757) 298-5657 |
Ms. Charon Dubose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Rebecca Myers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-4034 | |
Angela Mcdowell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Howmet Dr Ste 160, Hampton, VA 23661 Phone: 757-251-6376 | |
Ann Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Miss Tina Maria Crocco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-922-9961 | |
Carin Danielle Hamilton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2019 Cunningham Dr Ste 301, Hampton, VA 23666 Phone: 757-535-9080 | |
Robert Washington, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |