| Hanover Counseling Associates, Pllc | |
|
7109 Studley Rd Mechanicsville VA 23116-6514 | |
| (804) 310-5351 | |
| Not Available |
| Full Name | Hanover Counseling Associates, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 7109 Studley Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Lisa Corso Masouras (BUSINESS DIRECTOR/OWNER) |
| Authorized Official Contact | 8043105351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Counseling Associates, Pllc 7109 Studley Rd Mechanicsville VA 23116-6514 Ph: (804) 310-5351 | Hanover Counseling Associates, Pllc 7109 Studley Rd Mechanicsville VA 23116-6514 Ph: (804) 310-5351 |
| NPI Number | 1114206778 |
|---|---|
| Provider Enumeration Date | 08/12/2011 |
| Last Update Date | 08/12/2011 |
| Medicare PECOS PAC ID | 3476701509 |
|---|---|
| Medicare Enrollment ID | O20120914000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114206778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006510 (Virginia) | Primary |
| Provider Name | Amy M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831230663 PECOS PAC ID: 2567492135 Enrollment ID: I20050815000445 |
| Provider Name | Lisa C Masouras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467622803 PECOS PAC ID: 6800073313 Enrollment ID: I20110610000131 |
| Provider Name | Vivian Mann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740376318 PECOS PAC ID: 1254573777 Enrollment ID: I20130813000866 |
| Provider Name | Carrie S Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104361583 PECOS PAC ID: 8628326568 Enrollment ID: I20180808002938 |
| Provider Name | Kerrie Bogaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568600377 PECOS PAC ID: 6800147265 Enrollment ID: I20180924002342 |
| Provider Name | Erika M Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326235367 PECOS PAC ID: 9436402617 Enrollment ID: I20181106000977 |
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