Ms Donna L Havens, LCSW | |
12301 Grapefield Rd, Bastian, VA 24314 | |
(276) 688-4331 | |
(276) 688-4336 |
Full Name | Ms Donna L Havens |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 12301 Grapefield Rd, Bastian, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487768495 | NPI | - | NPPES |
032113 | Other | VA | VALUE OPTIONS |
247838 | Other | VA | MTN STATE BC/BC |
010383277 | Medicaid | VA | |
2121987 | Other | VA | MAMSI |
257838 | Other | VI | ANTHEM BC &BS |
257838 | Other | VA | TRIGON HEALTHKEEPERS |
463014 | Other | VA | ALLIANCE/MAPSI |
005410916 | Medicaid | VA | |
008963312 | Medicaid | VA | |
171900 | Other | VA | COMPSYCH |
257838 | Other | VA | BLUE CROSS BLUE SHIELD |
8957010 | Other | VA | CIGNA |
156228 | Other | VA | VA, DEPT. REHAB. SERVICES |
200101 | Other | VA | MHN |
01843900 | Other | VA | MAGELLAN |
541999431101 | Other | VA | JOHN DEERE (UBH) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904001753 (Virginia) | Primary |
Entity Name | The Counseling Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720192735 PECOS PAC ID: 0840180246 Enrollment ID: O20040318001087 |
Mailing Address | Practice Location Address |
---|---|
Ms Donna L Havens, LCSW 12301 Grapefield Rd, Bastian, VA 24314 Ph: (276) 688-4331 | Ms Donna L Havens, LCSW 12301 Grapefield Rd, Bastian, VA 24314 Ph: (276) 688-4331 |
April Bruner Simms, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12301 Grapefield Rd, Bastian, VA 24314 Phone: 276-688-4331 Fax: 276-688-4336 |