Mr Ryan Matthew Moon, | |
209 W Criser Rd, Front Royal, VA 22630-2360 | |
() - | |
Not Available |
Full Name | Mr Ryan Matthew Moon |
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Gender | Male |
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 |
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1861034910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 0904011213 (Virginia) | Primary |
Entity Name | Cacapon Center For Growth, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003420522 PECOS PAC ID: 8325450737 Enrollment ID: O20201209000164 |
Mailing Address | Practice Location Address |
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Mr Ryan Matthew Moon, 209 W Criser Rd, Front Royal, VA 22630-2360 Ph: (540) 247-5776 | Mr Ryan Matthew Moon, 209 W Criser Rd, Front Royal, VA 22630-2360 Ph: () - |
Lacy Jean Jordan White, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 209 W Criser Rd, Front Royal, VA 22630 Phone: 540-636-2931 Fax: 540-635-3080 | |
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 |