Mrs Mylira Jervette Green, MSW, LCSW | |
2019 Cunningham Dr Ste 412, Hampton, VA 23666-3318 | |
(757) 535-9080 | |
Not Available |
Full Name | Mrs Mylira Jervette Green |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2019 Cunningham Dr Ste 412, Hampton, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780221242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904011048 (Virginia) | Primary |
Entity Name | Child & Family Services Of Eastern Virginia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629158159 PECOS PAC ID: 7618009333 Enrollment ID: O20100715000882 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mylira Jervette Green, MSW, LCSW 4148 Pritchard St, Suffolk, VA 23435-3452 Ph: (757) 541-7664 | Mrs Mylira Jervette Green, MSW, LCSW 2019 Cunningham Dr Ste 412, Hampton, VA 23666-3318 Ph: (757) 535-9080 |
Ms. Charon Dubose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Rebecca Myers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-4034 | |
Angela Mcdowell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 701 Howmet Dr Ste 160, Hampton, VA 23661 Phone: 757-251-6376 | |
Ann Graham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2244 Executive Dr, Hampton, VA 23666 Phone: 757-827-1001 | |
Miss Tina Maria Crocco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-922-9961 | |
Carin Danielle Hamilton, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2019 Cunningham Dr Ste 301, Hampton, VA 23666 Phone: 757-535-9080 | |
Robert Washington, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 |