| Nell Kushlak, Lcsw Pllc | |
|
124 Amherst St Ste 203 Winchester VA 22601-4114 | |
| (540) 242-1415 | |
| (540) 242-1371 |
| Full Name | Nell Kushlak, Lcsw Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 124 Amherst St Ste 203, Winchester, Virginia |
| Authorized Official Name and Position | Nell B Kushlak (MEMBER MANAGER) |
| Authorized Official Contact | 5402421415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nell Kushlak, Lcsw Pllc 124 Amherst St Ste 203 Winchester VA 22601-4114 Ph: (540) 242-1415 | Nell Kushlak, Lcsw Pllc 124 Amherst St Ste 203 Winchester VA 22601-4114 Ph: (540) 242-1415 |
| NPI Number | 1689140915 |
|---|---|
| Provider Enumeration Date | 10/14/2018 |
| Last Update Date | 10/14/2018 |
| Medicare PECOS PAC ID | 4587918834 |
|---|---|
| Medicare Enrollment ID | O20181126002987 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689140915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nell Kushlak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619038718 PECOS PAC ID: 4789672767 Enrollment ID: I20160317000974 |
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