Tara Thomas, LCSW | |
7450 Heritage Village Plz, Suite 101, Gainesville, VA 20155-3090 | |
(571) 261-1921 | |
(571) 261-1170 |
Full Name | Tara Thomas |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 7450 Heritage Village Plz, Gainesville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013226356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0904003503 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935 |
Mailing Address | Practice Location Address |
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Tara Thomas, LCSW 14487 Macon Grove Ln, Gainesville, VA 20155-6224 Ph: (571) 216-7895 | Tara Thomas, LCSW 7450 Heritage Village Plz, Suite 101, Gainesville, VA 20155-3090 Ph: (571) 261-1921 |
Lorrie Beyerl, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7450 Heritage Village Plaza, Suite 101, Gainesville, VA 20155 Phone: 571-261-1921 Fax: 571-261-1170 | |
Mrs. Monica Chwojdak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7001 Heritage Village Plz, Suite 125, Gainesville, VA 20155 Phone: 571-229-0316 Fax: 571-421-2696 | |
Panayiota Larigakis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7450 Heritage Village Plz Unit 101, Gainesville, VA 20155 Phone: 571-261-1921 | |
Eve Rebecca Radin, LPC, M.ED./ED.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 7520 Gardner Park Dr, Gainesville, VA 20155 Phone: 571-248-2358 Fax: 571-248-2359 | |
Erika Ptak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7440 Heritage Village Plz Ste 102, Gainesville, VA 20155 Phone: 703-994-2828 | |
Mary Louise Welsh, LPC LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7404 Gallerher Rd, Ste 100, Gainesville, VA 20155 Phone: 703-753-7570 Fax: 703-753-7560 |