Virgilia Elizabeth Kennedy, LCSW | |
1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 | |
(805) 765-2300 | |
Not Available |
Full Name | Virgilia Elizabeth Kennedy |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 11 Years |
Location | 1505 Shepard Drive, Santa Maria, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164995825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW80556 (California) | Primary |
Entity Name | Wilshire Connected Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104392885 PECOS PAC ID: 5890038558 Enrollment ID: O20190521000171 |
Mailing Address | Practice Location Address |
---|---|
Virgilia Elizabeth Kennedy, LCSW Po Box 7842, Santa Maria, CA 93456-7842 Ph: (805) 765-2300 | Virgilia Elizabeth Kennedy, LCSW 1505 Shepard Drive, Suite 204, Santa Maria, CA 93454 Ph: (805) 765-2300 |
Ms. Janine Denise Jeter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1112 S Broadway, Santa Maria, CA 93454 Phone: 805-928-0139 | |
Virginia P Aguilera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 S Mcclelland, Santa Maria, CA 93454 Phone: 805-614-9535 Fax: 805-614-9390 | |
Taire Leah Hanshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 S Mcclelland St, Santa Maria, CA 93454 Phone: 805-614-9535 Fax: 805-614-9390 | |
Miss Martha Serna Guerrro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 South Miller, Ste 101 & 102, Santa Maria, CA 93454 Phone: 805-925-0315 | |
Frazier Barnett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 E Fesler St, Santa Maria, CA 93454 Phone: 805-922-6597 | |
Alexandria Marie Neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Agnes Ave, Santa Maria, CA 93458 Phone: 805-260-9324 | |
Jasmine Vanessa Servin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 526 E Chapel St, Santa Maria, CA 93454 Phone: 805-925-8860 |