Cassie Jewell, MED, LPC, LSATP | |
6901 S Van Dorn St, Kingstowne, VA 22315-3961 | |
(703) 313-6320 | |
Not Available |
Full Name | Cassie Jewell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6901 S Van Dorn St, Kingstowne, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124562251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0718000308 (Virginia) | Secondary |
101YP2500X | Counselor - Professional | 0701006554 (Virginia) | Primary |
Entity Name | Fairfax County, Virginia |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
Mailing Address | Practice Location Address |
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Cassie Jewell, MED, LPC, LSATP 6901 S Van Dorn St, Kingstowne, VA 22315-3961 Ph: () - | Cassie Jewell, MED, LPC, LSATP 6901 S Van Dorn St, Kingstowne, VA 22315-3961 Ph: (703) 313-6320 |
Mrs. Stacey Anne Lawson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6901 S Van Dorn St, Kingstowne, VA 22315 Phone: 703-313-6300 Fax: 703-313-6375 | |
Mr. Seferino Martinez Jr., LPC Counselor Medicare: Medicare Enrolled Practice Location: 6901 S Van Dorn St, Kingstowne, VA 22315 Phone: 703-313-6300 | |
Shannon Herzog Mcgee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6901 S Van Dorn St, Kingstowne, VA 22315 Phone: 703-313-6300 | |
Ronal Matthew Goff, LPC Counselor Medicare: Medicare Enrolled Practice Location: 6901 S Van Dorn St, Kingstowne, VA 22315 Phone: 703-313-6303 |