William R Hale, | |
3910 Old Buckingham Rd, Powhatan, VA 23139-5757 | |
(804) 598-2200 | |
(804) 598-3114 |
Full Name | William R Hale |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 3910 Old Buckingham Rd, Powhatan, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861262990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904016128 (Virginia) | Primary |
Entity Name | Goochland Powhatan Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467448571 PECOS PAC ID: 5193812501 Enrollment ID: O20071101000466 |
Mailing Address | Practice Location Address |
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William R Hale, Po Box 189, Goochland, VA 23063-0189 Ph: (804) 556-5400 | William R Hale, 3910 Old Buckingham Rd, Powhatan, VA 23139-5757 Ph: (804) 598-2200 |
Allison Middleton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3612 Bolling Rd, Powhatan, VA 23139 Phone: 804-921-5270 | |
Alyssa Faith Shadbolt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3910 Old Buckingham Rd, Powhatan, VA 23139 Phone: 804-464-8803 | |
Gwendolyn Ligh Bohn, MT, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1480 Oak Bridge Ct, Powhatan, VA 23139 Phone: 804-423-1389 Fax: 804-423-1393 | |
Mr. Stephen Siewers Johnson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1480 Oakbridge Ct., Powhatan, VA 23139 Phone: 804-423-1389 Fax: 804-423-1393 | |
Ms. Carol Montgomery-jennings, MA LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2142 Plainview Center, Powhatan, VA 23139 Phone: 804-598-9105 Fax: 804-598-6379 | |
Lindsey M Price, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2164 Plainview Ctr, Powhatan, VA 23139 Phone: 804-743-0960 | |
Tyler Adam Cepeda-laporte, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4309 Old Buckingham Rd, Powhatan, VA 23139 Phone: 434-390-8270 |