Sharquita Renee Dudley, LCSW in Woodbridge, VA - Medicare Social Worker Provider

Sharquita Renee Dudley, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Woodbridge, Virginia. Her current practice location is 12721 Darby Brook Ct Ste 102, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 497-1771.

Sharquita Renee Dudley is licensed to practice in Virginia (license number 0904012014) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558989293.

Contact Information

	Sharquita Renee Dudley, LCSW
	12721 Darby Brook Ct Ste 102, Woodbridge, VA 22192-2408
	(703) 497-1771
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Sharquita Renee Dudley
Gender	Female
Speciality	Social Worker - Clinical
Location	12721 Darby Brook Ct Ste 102, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558989293
Provider Enumeration Date: 07/09/2020
Last Update Date: 07/09/2020

Medicare PECOS Information:

PECOS PAC ID: 8921411604
Enrollment ID: I20210120000501

Medical Identifiers

Medical identifiers for Sharquita Renee Dudley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558989293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904012014 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sharquita Renee Dudley allows following entities to bill medicare on her behalf.

Entity Name	Woodbridge Therapy Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427421627 PECOS PAC ID: 0840547824 Enrollment ID: O20180723000288

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sharquita Renee Dudley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sharquita Renee Dudley, LCSW 17271 Darby Brooke Court, Woodbridge, VA 22192 Ph: (804) 221-7873	Sharquita Renee Dudley, LCSW 12721 Darby Brook Ct Ste 102, Woodbridge, VA 22192-2408 Ph: (703) 497-1771

Reviews and Comments

Social Worker in Woodbridge, VA

Ana-alicia Farrar Brown, LICSW, LCSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Neabsco Common Place Suite 101, Woodbridge, VA 22191 Phone: 571-412-1006
Ms. Pamela Jean Royalty, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14450 Smoketown Rd, Woodbridge Behavioral Health Clinic, Woodbridge, VA 22192 Phone: 703-551-4720
Rose Desdunes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14497 Potomac Mills Rd # 1257, Woodbridge, VA 22192 Phone: 571-285-2707
Kathleen Elizabeth Burch, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 Prince William Pkwy Ste 301, Woodbridge, VA 22192 Phone: 703-688-8541
Ms. Mary Mischtschuk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12721 Darby Brook Ct Ste 102, Woodbridge, VA 22192 Phone: 703-879-5144 Fax: 703-879-5860
Jacqueline Rodriguez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4379 Ridgewood Center Dr, Suite 4013, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Karlisha J Lattibeaudere, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15941 Donald Curtis Dr Ste 200, Woodbridge, VA 22191 Phone: 703-792-7800 Fax: 703-792-5699

Sharquita Renee Dudley, LCSW - Medicare Clinical Social Worker in Woodbridge, VA