| |
100 Chalmers Ct Berryville VA 22611-1347 | |
(540) 692-9428 | |
(540) 750-4046 |
Full Name | |
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Speciality | Social Worker |
Location | 100 Chalmers Ct, Berryville, Virginia |
Authorized Official Name and Position | Sharon Shavit (FOUNDER) |
Authorized Official Contact | 5406929428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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100 Chalmers Ct Berryville VA 22611-1347 Ph: (540) 692-9428 | 100 Chalmers Ct Berryville VA 22611-1347 Ph: (540) 692-9428 |
NPI Number | 1598293011 |
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Provider Enumeration Date | 05/28/2017 |
Last Update Date | 06/10/2024 |
Certification Date | 06/10/2024 |
Medicare PECOS PAC ID | 8729520192 |
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Medicare Enrollment ID | O20240613000594 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598293011 | NPI | - | NPPES |
1205901857 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041S0200X | Social Worker - School | 0904006437 (Virginia) | Primary |
Provider Name | April M Lubkemann |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1730383647 PECOS PAC ID: 9032288758 Enrollment ID: I20080521000608 |
Provider Name | Rebekah Hannay Jordan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659618049 PECOS PAC ID: 6002051935 Enrollment ID: I20130326000258 |
Provider Name | Roberta Morell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942827605 PECOS PAC ID: 5991120438 Enrollment ID: I20200731000584 |
Provider Name | Chinyere Ugwanyi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063831212 PECOS PAC ID: 5597988592 Enrollment ID: I20201105001812 |
Provider Name | Erica M Shell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417206574 PECOS PAC ID: 7810374337 Enrollment ID: I20220520002363 |
Provider Name | Kali Dove |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144909060 PECOS PAC ID: 8224488010 Enrollment ID: I20231219003965 |
Provider Name | Sharon Shavit |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205901857 PECOS PAC ID: 9638611007 Enrollment ID: I20240613000963 |
Provider Name | Samantha Jean Baerhardt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1205415684 PECOS PAC ID: 6103367651 Enrollment ID: I20240924002119 |
Provider Name | Michael Frederick Ellis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184288961 PECOS PAC ID: 1355874231 Enrollment ID: I20241030003545 |
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