Ms Maryjo Blair, LCSW | |
102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | |
(703) 771-5176 | |
(703) 777-0170 |
Full Name | Ms Maryjo Blair |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 102 Heritage Way Ne Ste 302, 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 |
---|---|---|---|
1386749869 | NPI | - | NPPES |
290476 | Other | VA | ANTHEM |
293877 | Other | VA | AMERIGROUP |
290477 | Other | VA | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904002474 (Virginia) | Primary |
Entity Name | County Of Loudoun Virginia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386753291 PECOS PAC ID: 8426039959 Enrollment ID: O20040528000959 |
Mailing Address | Practice Location Address |
---|---|
Ms Maryjo Blair, LCSW 42794 Oatyer Ct, Broadlands, VA 20148-5000 Ph: (703) 724-3594 | Ms Maryjo Blair, LCSW 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 Ph: (703) 771-5176 |
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 |