Mrs Angela Tillman Smith, LCSW | |
10263 Matthews Grove Ln, Mechanicsville, VA 23116-5151 | |
(804) 922-2210 | |
Not Available |
Full Name | Mrs Angela Tillman Smith |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10263 Matthews Grove Ln, Mechanicsville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073234282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904008041 (Virginia) | Primary |
Entity Name | Myspectrum Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369 |
Mailing Address | Practice Location Address |
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Mrs Angela Tillman Smith, LCSW 10263 Matthews Grove Ln, Mechanicsville, VA 23116-5151 Ph: (804) 922-2210 | Mrs Angela Tillman Smith, LCSW 10263 Matthews Grove Ln, Mechanicsville, VA 23116-5151 Ph: (804) 922-2210 |
Jean Todd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8249 Crown Colony Pkwy, Suite 200, Mechanicsville, VA 23116 Phone: 804-789-1224 Fax: 804-789-5964 | |
Kathryn Parrish Garraghty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7374 Creighton Parkway, Mechanicsville, VA 23111 Phone: 804-365-4222 Fax: 804-365-6779 | |
Ms. Carrie Suzanne Meyer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8249 Crown Colony Pkwy Ste 200, Mechanicsville, VA 23116 Phone: 804-789-1224 | |
Mrs. Cicely Powell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9097 Atlee Station Rd, Ste 219, Mechanicsville, VA 23116 Phone: 804-730-2829 Fax: 804-730-2829 | |
Mrs. Mary Elizabeth Baker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7293 Shady Grove Rd, Mechanicsville, VA 23111 Phone: 804-398-8401 Fax: 804-980-7743 | |
Randi Edwards, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8005 Creighton Pkwy Ste C, Ste 234, Mechanicsville, VA 23111 Phone: 804-839-7873 |