| Associates At York, Inc | |
|
142 W York St Suite 915 Norfolk VA 23510-2015 | |
| (757) 313-5700 | |
| (757) 313-5702 |
| Full Name | Associates At York, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 142 W York St, Norfolk, Virginia |
| Authorized Official Name and Position | Kathleen A Hooper (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7573135700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates At York, Inc 142 W York St Suite 915 Norfolk VA 23510-2015 Ph: (757) 313-5700 | Associates At York, Inc 142 W York St Suite 915 Norfolk VA 23510-2015 Ph: (757) 313-5700 |
| NPI Number | 1497845333 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 10/04/2011 |
| Medicare PECOS PAC ID | 3476788720 |
|---|---|
| Medicare Enrollment ID | O20131023000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497845333 | NPI | - | NPPES |
| 008944075 | Medicaid | VA | |
| 005414041 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701002555 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904001615 (Virginia) | Primary |
| Provider Name | Kathleen Ann Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598857872 PECOS PAC ID: 2264688951 Enrollment ID: I20120813000407 |
| Provider Name | James Moriarty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710201645 PECOS PAC ID: 7113292319 Enrollment ID: I20171012003654 |
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