| Marjorie S North, Lcsw | |
|
2200 Pump Rd Suite 220 Richmond VA 23233 | |
| (703) 662-1676 | |
| (804) 918-1798 |
| Full Name | Marjorie S North, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 2200 Pump Rd Suite 220, Richmond, Virginia |
| Authorized Official Name and Position | Marjorie S North (THERAPIST) |
| Authorized Official Contact | 7036621676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marjorie S North, Lcsw 2200 Pump Rd Suite 220 Richmond VA 23233 Ph: (703) 662-1676 | Marjorie S North, Lcsw 2200 Pump Rd Suite 220 Richmond VA 23233 Ph: (703) 662-1676 |
| NPI Number | 1821358656 |
|---|---|
| Provider Enumeration Date | 05/27/2012 |
| Last Update Date | 07/26/2019 |
| Medicare PECOS PAC ID | 3971837154 |
|---|---|
| Medicare Enrollment ID | O20190621000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821358656 | NPI | - | NPPES |
| 002356L12 | Other | VA | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005339 (Virginia) | Primary |
| Provider Name | Marjorie S North |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841300977 PECOS PAC ID: 1759455314 Enrollment ID: I20080731000312 |
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