Karen Woodhouse, Llc | |
919 W 21st St Ste B Norfolk VA 23517-1559 | |
(757) 622-6794 | |
Not Available |
Full Name | Karen Woodhouse, Llc |
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Speciality | Clinic/Center |
Location | 919 W 21st St Ste B, Norfolk, Virginia |
Authorized Official Name and Position | Karen Anne Woodhouse (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 7575444427 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Karen Woodhouse, Llc 100 Willow Wood Dr Apt A5 Norfolk VA 23505-4830 Ph: (757) 544-4427 | Karen Woodhouse, Llc 919 W 21st St Ste B Norfolk VA 23517-1559 Ph: (757) 622-6794 |
NPI Number | 1629588769 |
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Provider Enumeration Date | 10/03/2017 |
Last Update Date | 10/03/2017 |
Medicare PECOS PAC ID | 7810255411 |
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Medicare Enrollment ID | O20180102001976 |
Identifier | Type | State | Issuer |
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1629588769 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | 0904006013 (Virginia) | Primary |
Provider Name | Karen A Woodhouse |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346637873 PECOS PAC ID: 8224340161 Enrollment ID: I20150706002286 |
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