Mr Keith Oso Engel, LCSW, BCD | |
3530 N Courthouse Rd, Providence Forge, VA 23140-3408 | |
(804) 409-7525 | |
(805) 315-9380 |
Full Name | Mr Keith Oso Engel |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 3530 N Courthouse Rd, Providence Forge, Virginia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851837157 | NPI | - | NPPES |
85-3101757 | Other | VA | MIND MELD PSYCHOTHERAPY |
Entity Name | Mind Meld Psychotherapy Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114599958 PECOS PAC ID: 8426454802 Enrollment ID: O20210909003773 |
Mailing Address | Practice Location Address |
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Mr Keith Oso Engel, LCSW, BCD 3530 N Courthouse Rd, Providence Forge, VA 23140-3408 Ph: (804) 409-7525 | Mr Keith Oso Engel, LCSW, BCD 3530 N Courthouse Rd, Providence Forge, VA 23140-3408 Ph: (804) 409-7525 |
Mr. Kent Paul Radwani, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocohontas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 | |
Jessica A Adkins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocahontas Trl # A, Providence Forge, VA 23140 Phone: 804-727-8970 | |
Andrea Michelle Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9403 Pocohantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Ms. Janice V. Atwell, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9403 Pocohantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Steven David, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3530 N Courthouse Rd, Providence Forge, VA 23140 Phone: 804-409-7525 Fax: 804-315-9380 | |
Ms. Wendy Dickerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 A Pocahantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 |