Mrs Lynette Kaye Jacob, LCSW | |
43930 Harbor Hills Ter Unit 101, Leesburg, VA 20176-3449 | |
(703) 606-2880 | |
Not Available |
Full Name | Mrs Lynette Kaye Jacob |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 43930 Harbor Hills Ter Unit 101, Leesburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093466476 | NPI | - | NPPES |
4M9UNF3 | Other | VA | NASW INSURANCE COMPANY, RRG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904013293 (Virginia) | Primary |
Entity Name | Potomac Family Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528798360 PECOS PAC ID: 7416330063 Enrollment ID: O20220816000329 |
Mailing Address | Practice Location Address |
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Mrs Lynette Kaye Jacob, LCSW 43930 Harbor Hills Ter Unit 101, Leesburg, VA 20176-3449 Ph: (703) 606-2880 | Mrs Lynette Kaye Jacob, LCSW 43930 Harbor Hills Ter Unit 101, Leesburg, VA 20176-3449 Ph: (703) 606-2880 |
Jaime Bosserman, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 | |
Karen Scarpino Kunzwiler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44080 Riverpoint Dr, Leesburg, VA 20176 Phone: 443-799-6500 | |
Tammy Johnston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42009 Victory Ln, Leesburg, VA 20176 Phone: 330-758-4515 Fax: 330-758-5121 | |
Ms. Roshontia Haas, MSS, MLSP, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 102 Heritage Way Ne, Leesburg, VA 20176 Phone: 703-771-5681 | |
Lynn Gurley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 102 Heritage Way Ne Ste 102, Leesburg, VA 20176 Phone: 703-777-0320 | |
John Scott Zeiter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 Fax: 703-777-4887 | |
Michelle Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 302, Leesburg, VA 20176 Phone: 703-771-5100 Fax: 703-777-0170 |