| Goochland Powhatan Community Services | |
|
3058 River Rd W Goochland VA 23063-3202 | |
| (804) 556-5400 | |
| (804) 556-5403 |
| Full Name | Goochland Powhatan Community Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3058 River Rd W, Goochland, Virginia |
| Authorized Official Name and Position | Lester Saltzberg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8045565400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goochland Powhatan Community Services Po Box 189 Goochland VA 23063-0189 Ph: (804) 556-5400 | Goochland Powhatan Community Services 3058 River Rd W Goochland VA 23063-3202 Ph: (804) 556-5400 |
| NPI Number | 1467448571 |
|---|---|
| Provider Enumeration Date | 09/23/2005 |
| Last Update Date | 02/09/2022 |
| Certification Date | 02/09/2022 |
| Medicare PECOS PAC ID | 5193812501 |
|---|---|
| Medicare Enrollment ID | O20071101000466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467448571 | NPI | - | NPPES |
| 004978561 | Medicaid | VA | |
| 004945557 | Medicaid | VA | |
| 004949927 | Medicaid | VA | |
| 004948262 | Medicaid | VA | |
| 004949919 | Medicaid | VA |
| Provider Name | Irene M Temple |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174664429 PECOS PAC ID: 6709823081 Enrollment ID: I20050408000804 |
| Provider Name | Jeffrey Buthe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011847 PECOS PAC ID: 3375854003 Enrollment ID: I20150622000989 |
| Provider Name | Allison Middleton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215522552 PECOS PAC ID: 6709294374 Enrollment ID: I20210420001463 |
| Provider Name | Lester Saltzberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578145371 PECOS PAC ID: 1254739907 Enrollment ID: I20211104001502 |
| Provider Name | Heather M Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134872963 PECOS PAC ID: 9032585070 Enrollment ID: I20221017002576 |
| Provider Name | Heather Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346737731 PECOS PAC ID: 4385016559 Enrollment ID: I20230216001127 |
| Provider Name | Monika Szczotka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851007041 PECOS PAC ID: 7113392184 Enrollment ID: I20230404002042 |
| Provider Name | Sarah Elizabeth White |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184960635 PECOS PAC ID: 6406208982 Enrollment ID: I20240119003573 |
| Provider Name | Frederick Peach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851067953 PECOS PAC ID: 5991157265 Enrollment ID: I20240123001267 |
| Provider Name | William R Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861262990 PECOS PAC ID: 8921451527 Enrollment ID: I20240131000817 |
| Provider Name | Richard L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447024757 PECOS PAC ID: 3274976576 Enrollment ID: I20240202002721 |
| Provider Name | Erica Catherine Wooldridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578232146 PECOS PAC ID: 9133565476 Enrollment ID: I20240308003752 |
| Provider Name | Sophia E Settle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801336748 PECOS PAC ID: 6709226392 Enrollment ID: I20240430001640 |
Right Rehabilitation Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2541 Old Dam Rd, Goochland, VA 23063 Phone: 804-241-3848 Fax: 804-556-0095 | |
Elk Hill Farm, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1975 Elk Hill Road, Goochland, VA 23063 Phone: 804-457-4866 Fax: 804-457-2830 |