| Linda E Love Lcsw Pc | |
|
5821 Staples Mill Rd Ste 201 Richmond VA 23228-5427 | |
| (804) 221-6682 | |
| (807) 264-1029 |
| Full Name | Linda E Love Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 5821 Staples Mill Rd Ste 201, Richmond, Virginia |
| Authorized Official Name and Position | Linda E Lore (OWNER) |
| Authorized Official Contact | 8042706807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda E Love Lcsw Pc 4966 Rail Dr Sandston VA 23150-5464 Ph: (804) 221-6682 | Linda E Love Lcsw Pc 5821 Staples Mill Rd Ste 201 Richmond VA 23228-5427 Ph: (804) 221-6682 |
| NPI Number | 1073512349 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Medicare PECOS PAC ID | 9830149442 |
|---|---|
| Medicare Enrollment ID | O20050131000774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073512349 | NPI | - | NPPES |
| 010117461 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003639 (Virginia) | Primary |
| Provider Name | Linda E Love |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750560785 PECOS PAC ID: 6800878703 Enrollment ID: I20040603001370 |
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