Tanya M Lilly, MSW, LICSW | |
550 N Eisenhower Dr Apt A, Beckley, WV 25801-3109 | |
(304) 254-9610 | |
Not Available |
Full Name | Tanya M Lilly |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 550 N Eisenhower Dr Apt A, Beckley, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255547816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00942563 (West Virginia) | Primary |
Entity Name | Bright Life Mental Health & Recovery Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881455210 PECOS PAC ID: 6709224009 Enrollment ID: O20240405001108 |
Mailing Address | Practice Location Address |
---|---|
Tanya M Lilly, MSW, LICSW 131 Burkholder St, Oak Hill, WV 25901-2401 Ph: (304) 890-7573 | Tanya M Lilly, MSW, LICSW 550 N Eisenhower Dr Apt A, Beckley, WV 25801-3109 Ph: (304) 254-9610 |
Ms. Cheryl Jane Walters, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Veterans Ave, Va Medical Center, Beckley, WV 25801 Phone: 304-255-2121 Fax: 304-256-5483 | |
Carla Michelle White-phillips, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26 Bunting Ln, Beckley, WV 25801 Phone: 304-890-1614 | |
Mrs. Portia J Parker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121 Fax: 304-255-2431 | |
Miss Kirsten Nicole Daniel, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Mallard Ct, Beckley, WV 25801 Phone: 304-255-7526 | |
Colten E Helmandollar, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 S Eisenhower Dr, Beckley, WV 25801 Phone: 304-256-7100 | |
Wilson Shadwell Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Mallard Court, Beckley, WV 25801 Phone: 304-255-7526 | |
Ms. Jennifer Leigh Paugh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121 |