| Chesterfield Community Services Board | |
|
6801 Lucy Corr Ct Chesterfield VA 23832-6657 | |
| (804) 748-1227 | |
| (804) 717-6659 |
| Full Name | Chesterfield Community Services Board |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6801 Lucy Corr Ct, Chesterfield, Virginia |
| Authorized Official Name and Position | Debbie Burcham (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8047687220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesterfield Community Services Board 6801 Lucy Corr Ct Chesterfield VA 23832-6657 Ph: (804) 748-1227 | Chesterfield Community Services Board 6801 Lucy Corr Ct Chesterfield VA 23832-6657 Ph: (804) 748-1227 |
| NPI Number | 1336293000 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/15/2017 |
| Medicare PECOS PAC ID | 0547245946 |
|---|---|
| Medicare Enrollment ID | O20040621000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336293000 | NPI | - | NPPES |
| C00801 | Other | VA | MEDICARE GROUP PTAN |
| 1336293000 | Medicaid | VA |
| Provider Name | Sheila G Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376717124 PECOS PAC ID: 3072589415 Enrollment ID: I20040907001013 |
| Provider Name | Jennifer L Erisman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124169123 PECOS PAC ID: 6709853799 Enrollment ID: I20040910000116 |
| Provider Name | Robert R Breland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538105820 PECOS PAC ID: 4486699907 Enrollment ID: I20050624000886 |
| Provider Name | Maria Catolico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659379170 PECOS PAC ID: 6709884562 Enrollment ID: I20061110000271 |
| Provider Name | Susan W Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942297262 PECOS PAC ID: 6103910971 Enrollment ID: I20070924000744 |
| Provider Name | Kevin E Holder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730365271 PECOS PAC ID: 9931288362 Enrollment ID: I20080509000260 |
| Provider Name | Monica V Estrada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720259195 PECOS PAC ID: 4385712660 Enrollment ID: I20081014000591 |
| Provider Name | Renuka Evani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487745642 PECOS PAC ID: 1951444975 Enrollment ID: I20100129000570 |
| Provider Name | Jada E Overton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396185187 PECOS PAC ID: 3577798925 Enrollment ID: I20131021001166 |
| Provider Name | Deborah Renee Crutchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360757 PECOS PAC ID: 4981924370 Enrollment ID: I20150527000879 |
| Provider Name | Amanda W Mcwhite |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033569405 PECOS PAC ID: 7012205370 Enrollment ID: I20161019002081 |
| Provider Name | Sarah Woodhouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689165532 PECOS PAC ID: 2163773672 Enrollment ID: I20180922000118 |
| Provider Name | Emily Diane Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619481843 PECOS PAC ID: 1658611926 Enrollment ID: I20190322001980 |
| Provider Name | Jennifer Sions |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346608460 PECOS PAC ID: 1850622309 Enrollment ID: I20191014003118 |
| Provider Name | Ashley Michele Fleckenstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629456579 PECOS PAC ID: 8921339359 Enrollment ID: I20191015003612 |
| Provider Name | Leslie Tucker Guilfoyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669030433 PECOS PAC ID: 1557692910 Enrollment ID: I20191016000888 |
| Provider Name | Marian L Coleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053766824 PECOS PAC ID: 0941594261 Enrollment ID: I20200819001495 |
| Provider Name | Michael Hartsock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043802861 PECOS PAC ID: 7618384454 Enrollment ID: I20210324000228 |
| Provider Name | Mckenzie Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841696234 PECOS PAC ID: 2567870090 Enrollment ID: I20210421001244 |
| Provider Name | Kimberly Bailey Dexter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235764309 PECOS PAC ID: 8921417098 Enrollment ID: I20210503001734 |
| Provider Name | Natalie Renee Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063166007 PECOS PAC ID: 7719366053 Enrollment ID: I20220616002707 |
| Provider Name | Jefferson Campbell Knighton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639819865 PECOS PAC ID: 8123407798 Enrollment ID: I20220628002462 |
| Provider Name | Jessica Bennett Grimes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922720937 PECOS PAC ID: 2163890005 Enrollment ID: I20221123002645 |
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Maxcare Health And Residential Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13900 Cedar Creek Rd, Chesterfield, VA 23838 Phone: 804-739-5902 | |
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