| Organizational & Individual Consultation (oic) | |
|
4656 Brambleton Ave Roanoke VA 24018-3437 | |
| (540) 772-8043 | |
| (540) 772-8242 |
| Full Name | Organizational & Individual Consultation (oic) |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4656 Brambleton Ave, Roanoke, Virginia |
| Authorized Official Name and Position | Ruth S Fielder (OWNER) |
| Authorized Official Contact | 5409775272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Organizational & Individual Consultation (oic) 3619 Blue Ridge Blvd Blue Ridge VA 24064-1976 Ph: (540) 977-5272 | Organizational & Individual Consultation (oic) 4656 Brambleton Ave Roanoke VA 24018-3437 Ph: (540) 772-8043 |
| NPI Number | 1699947606 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699947606 | NPI | - | NPPES |
| 010190169 | Medicaid | VA | |
| 181806 | Other | VA | ANTHEM |
| 812168000 | Other | VA | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004021 (Virginia) | Primary |
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