Ms Kathleen B Sproul, LCSW | |
6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 | |
(804) 748-1227 | |
(804) 717-6659 |
Full Name | Ms Kathleen B Sproul |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 6801 Lucy Corr Ct, Chesterfield, Virginia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043353162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904001175 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dominion Behavioral Healthcare Of Chesterfield | 2365767217 | 10 |
Entity Name | Dominion Behavioral Healthcare Of Chesterfield |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093118051 PECOS PAC ID: 2365767217 Enrollment ID: O20150217001124 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathleen B Sproul, LCSW 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 Ph: (804) 748-1227 | Ms Kathleen B Sproul, LCSW 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 Ph: (804) 748-1227 |
Mr. Joel A Imburg, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659 | |
Amanda Mcwhite, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659 | |
Mr. Corey Ashton Tolliver Sr., LMHP-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000 Holridge Ct, Chesterfield, VA 23832 Phone: 804-314-8785 | |
Michael B Hartsock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1223 Fax: 804-318-8041 | |
Caitlyn M Patey, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9846 Lori Rd Ste 201, Chesterfield, VA 23832 Phone: 804-335-8012 | |
Natalie Carter, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8003 Gates Bluff Pl, Chesterfield, VA 23832 Phone: 804-840-2191 |