| Psychotherapy Associates Of Winchester | |
|
125 S Cameron St Winchester VA 22601-4732 | |
| (540) 722-0750 | |
| (540) 722-0751 |
| Full Name | Psychotherapy Associates Of Winchester |
|---|---|
| Speciality | Social Worker |
| Location | 125 S Cameron St, Winchester, Virginia |
| Authorized Official Name and Position | John Smith Crandell (MANAGING PARTNER) |
| Authorized Official Contact | 5406678665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Associates Of Winchester 125 S Cameron St Winchester VA 22601-4732 Ph: (540) 722-0750 | Psychotherapy Associates Of Winchester 125 S Cameron St Winchester VA 22601-4732 Ph: (540) 722-0750 |
| NPI Number | 1588656672 |
|---|---|
| Provider Enumeration Date | 08/16/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0840468864 |
|---|---|
| Medicare Enrollment ID | O20110719000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588656672 | NPI | - | NPPES |
| Provider Name | Janice Louise Fristad |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679817548 PECOS PAC ID: 0345485132 Enrollment ID: I20130327000333 |
| Provider Name | Jennifer Ann Stump |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063718716 PECOS PAC ID: 7517232432 Enrollment ID: I20171003006295 |
| Provider Name | Caitlin Victoria Lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679139232 PECOS PAC ID: 2163845330 Enrollment ID: I20200706003105 |
| Provider Name | Charles N Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174274401 PECOS PAC ID: 2961841358 Enrollment ID: I20240418000805 |
| Provider Name | James S Tavenner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689057069 PECOS PAC ID: 2163861568 Enrollment ID: I20240418001185 |
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