| Betty Eastman Lcsw And Associates Inc | |
|
200 City Hall Ave Suite E Poquoson VA 23662-1985 | |
| (757) 868-0072 | |
| Not Available |
| Full Name | Betty Eastman Lcsw And Associates Inc |
|---|---|
| Speciality | Social Worker |
| Location | 200 City Hall Ave, Poquoson, Virginia |
| Authorized Official Name and Position | Betty Eastman (PRESIDENT) |
| Authorized Official Contact | 7578680072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Betty Eastman Lcsw And Associates Inc 200 City Hall Ave Suite E Poquoson VA 23662-1985 Ph: (757) 868-0072 | Betty Eastman Lcsw And Associates Inc 200 City Hall Ave Suite E Poquoson VA 23662-1985 Ph: (757) 868-0072 |
| NPI Number | 1265609887 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 12/02/2008 |
| Medicare PECOS PAC ID | 6002989928 |
|---|---|
| Medicare Enrollment ID | O20080724000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265609887 | NPI | - | NPPES |
| 428878 | Other | VA | TRICARE |
| 356288 | Other | VA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004680 (Virginia) | Primary |
| Provider Name | Betty J M Eastman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578532461 PECOS PAC ID: 7315988078 Enrollment ID: I20050512000913 |
| Provider Name | Celena L Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245244128 PECOS PAC ID: 6305850066 Enrollment ID: I20060201000771 |
| Provider Name | Elizabeth B Shumate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023164126 PECOS PAC ID: 8325145360 Enrollment ID: I20070525000310 |
| Provider Name | Kenyuatia L Gash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831440544 PECOS PAC ID: 0446555361 Enrollment ID: I20160301001506 |
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