| Catherine Sacks, Lcsw, Plc | |
|
1110 Rose Hill Dr Suite 201 Charlottesville VA 22903-5159 | |
| (434) 979-0401 | |
| (434) 220-3335 |
| Full Name | Catherine Sacks, Lcsw, Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1110 Rose Hill Dr, Charlottesville, Virginia |
| Authorized Official Name and Position | Catherine Sacks (OWNER) |
| Authorized Official Contact | 4349790401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Sacks, Lcsw, Plc 1110 Rose Hill Dr Suite 201 Charlottesville VA 22903-5159 Ph: (434) 979-0401 | Catherine Sacks, Lcsw, Plc 1110 Rose Hill Dr Suite 201 Charlottesville VA 22903-5159 Ph: (434) 979-0401 |
| NPI Number | 1053433615 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053433615 | NPI | - | NPPES |
| 010326133 | Medicaid | VA | |
| 208402 | Other | VA | ANTHEM |
| 083485 | Other | VA | SENTARA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904002205 (Virginia) | Primary |
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