Renae Willis, LCSW | |
821 Saint Brides Rd W, Chesapeake, VA 23322-2316 | |
(336) 918-4945 | |
Not Available |
Full Name | Renae Willis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 821 Saint Brides Rd W, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528368214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | P005711 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 0904009292 (Virginia) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
Mailing Address | Practice Location Address |
---|---|
Renae Willis, LCSW 821 Saint Brides Rd W, Chesapeake, VA 23322-2316 Ph: (336) 918-4945 | Renae Willis, LCSW 821 Saint Brides Rd W, Chesapeake, VA 23322-2316 Ph: (336) 918-4945 |
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 |