Ms Traci Mutzabaugh Smith, LCSW | |
3580 Forest Haven Ln, Suite B, Chesapeake, VA 23321-5134 | |
(757) 398-2881 | |
(757) 483-0707 |
Full Name | Ms Traci Mutzabaugh Smith |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 3580 Forest Haven Ln, Chesapeake, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477589372 | NPI | - | NPPES |
11433361 | Other | VA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904005929 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brenda Lee Davis Ma Lpc Llc | 2163840083 | 2 |
Entity Name | Christian Psychotherapy Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437247723 PECOS PAC ID: 8820986953 Enrollment ID: O20040309001135 |
Entity Name | Brenda Lee Davis Ma Lpc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366762270 PECOS PAC ID: 2163840083 Enrollment ID: O20210624001226 |
Mailing Address | Practice Location Address |
---|---|
Ms Traci Mutzabaugh Smith, LCSW 3580 Forest Haven Ln, Suite B, Chesapeake, VA 23321-5134 Ph: (757) 398-2881 | Ms Traci Mutzabaugh Smith, LCSW 3580 Forest Haven Ln, Suite B, Chesapeake, VA 23321-5134 Ph: (757) 398-2881 |
Ashley Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 Nottaway Dr, Chesapeake, VA 23320 Phone: 757-553-7698 | |
Dr. Linda Sue Mintle, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Watch Island Reach, Chesapeake, VA 23320 Phone: 757-549-2255 Fax: 757-549-2255 | |
Sentoria H Harold, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 920 Ventures Way Ste 4, Chesapeake, VA 23320 Phone: 757-752-5743 | |
Eileen Buck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Eden Way N Ste 123, Chesapeake, VA 23320 Phone: 757-698-4247 | |
Jacquelyn Feliciano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-819-6219 Fax: 757-819-6292 | |
Justin Kolaya, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-548-7000 | |
Josette M Creel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Great Bridge Blvd, City Of Chesapeake Ta Chesap. Comm.serv Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 |