Kristal Bednarski-gibbs, Lcsw, Plc | |
507 Brookneil Dr Winchester VA 22602-6676 | |
(540) 550-5044 | |
Not Available |
Full Name | Kristal Bednarski-gibbs, Lcsw, Plc |
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Speciality | Social Worker |
Location | 507 Brookneil Dr, Winchester, Virginia |
Authorized Official Name and Position | Krista L Bednarski-gibbs (MANAGER OF PLC) |
Authorized Official Contact | 5405505044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristal Bednarski-gibbs, Lcsw, Plc 507 Brookneil Dr Winchester VA 22602-6676 Ph: (540) 550-5044 | Kristal Bednarski-gibbs, Lcsw, Plc 507 Brookneil Dr Winchester VA 22602-6676 Ph: (540) 550-5044 |
NPI Number | 1982886313 |
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Provider Enumeration Date | 11/27/2007 |
Last Update Date | 11/27/2007 |
Medicare PECOS PAC ID | 1456373448 |
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Medicare Enrollment ID | O20051219000580 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982886313 | NPI | - | NPPES |
182020 | Other | VA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904004447 (Virginia) | Primary |
Provider Name | Krista L Bednarski Gibbs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1437266764 PECOS PAC ID: 1456373455 Enrollment ID: I20051219000605 |
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