Mrs Willar Mae Baum, LCSW | |
620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | |
(757) 953-9767 | |
(757) 953-9995 |
Full Name | Mrs Willar Mae Baum |
---|---|
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003849142 | NPI | - | NPPES |
010127874 | Medicaid | VA | |
010157927 | Medicaid | VA | |
177979 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904005016 (Virginia) | Primary |
Entity Name | Commonwealth Counseling Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851345805 PECOS PAC ID: 0941288583 Enrollment ID: O20040710000183 |
Mailing Address | Practice Location Address |
---|---|
Mrs Willar Mae Baum, LCSW 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-9767 | Mrs Willar Mae Baum, LCSW 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 Ph: (757) 953-9767 |
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. 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 |