| Baldwin Counseling Pllc | |
|
1492 S Independence Blvd Ste 104 Virginia Beach VA 23462-5252 | |
| (757) 340-0275 | |
| (757) 340-0276 |
| Full Name | Baldwin Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1492 S Independence Blvd Ste 104, Virginia Beach, Virginia |
| Authorized Official Name and Position | Suzanne Meredith Baldwin (OWNER) |
| Authorized Official Contact | 7573400275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwin Counseling Pllc 1492 S Independence Blvd Ste 104 Virginia Beach VA 23462-5252 Ph: (757) 340-0275 | Baldwin Counseling Pllc 1492 S Independence Blvd Ste 104 Virginia Beach VA 23462-5252 Ph: (757) 340-0275 |
| NPI Number | 1891104949 |
|---|---|
| Provider Enumeration Date | 08/02/2014 |
| Last Update Date | 06/21/2021 |
| Certification Date | 06/21/2021 |
| Medicare PECOS PAC ID | 3779805320 |
|---|---|
| Medicare Enrollment ID | O20141210000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891104949 | NPI | - | NPPES |
| 1154871 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003880 (Virginia) | Primary |
| Provider Name | Suzanne M Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285644609 PECOS PAC ID: 3870547904 Enrollment ID: I20050310000750 |
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