Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II in Portsmouth, VA

Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II is a medicare enrolled "Social Worker - Clinical" provider in Portsmouth, Virginia. Her current practice location is 620 John Paul Jones Cir, Portsmouth, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 953-5000.

Mrs Kathryn Marie Vicks is licensed to practice in Ohio (license number I.0800182-SUPV) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285742395.

Contact Information

	Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II
	620 John Paul Jones Cir, Portsmouth, VA 23708-2111
	(757) 953-5000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathryn Marie Vicks
Gender	Female
Speciality	Social Worker - Clinical
Location	620 John Paul Jones Cir, Portsmouth, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285742395
Provider Enumeration Date: 08/28/2006
Last Update Date: 12/21/2011

Medicare PECOS Information:

PECOS PAC ID: 1557725561
Enrollment ID: I20230908003227

Medical Identifiers

Medical identifiers for Mrs Kathryn Marie Vicks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285742395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	I.0800182-SUPV (Ohio)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kathryn Marie Vicks allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathryn Marie Vicks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5129	Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-5000

Reviews and Comments

Social Worker in Portsmouth, VA

Kenneth L Labasky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3300 Academy Ave, Portsmouth, VA 23703 Phone: 757-483-6404 Fax: 757-483-0737
Mrs. Willar Mae Baum, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-9767 Fax: 757-953-9995
Mrs. Ashley Irene Dyke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-2817
Mr. Frederick Arthur Noble, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3810 High St, Portsmouth, VA 23707 Phone: 757-433-2529 Fax: 757-433-2472
J. Kellie Young Evans, LCSW,CSTOP Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1805 Airline Blvd, Portsmouth, VA 23707 Phone: 757-397-2121 Fax: 757-399-3316
Ms. Patricia Anne Peters, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 620 John Paul Jones Cir, Social Work Department, Portsmouth, VA 23708 Phone: 757-953-5008
Mary Baumgartner Levner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Riverview Ave, Portsmouth, VA 23704 Phone: 515-231-8118

Mrs Kathryn Marie Vicks, MSW, LISW-S, LCDC II - Medicare Clinical Social Worker in Portsmouth, VA