Susan Myers, Lcsw Inc | |
611 Trent St Ne Norton VA 24273-1533 | |
(276) 275-6789 | |
(276) 679-2174 |
Full Name | Susan Myers, Lcsw Inc |
---|---|
Speciality | Social Worker |
Location | 611 Trent St Ne, Norton, Virginia |
Authorized Official Name and Position | Susan G Myers (OWNER) |
Authorized Official Contact | 2762756789 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Susan Myers, Lcsw Inc 611 Trent St Ne Norton VA 24273-1533 Ph: (276) 275-6789 | Susan Myers, Lcsw Inc 611 Trent St Ne Norton VA 24273-1533 Ph: (276) 275-6789 |
NPI Number | 1619383072 |
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Provider Enumeration Date | 07/07/2014 |
Last Update Date | 05/28/2024 |
Certification Date | 05/28/2024 |
Medicare PECOS PAC ID | 7810116001 |
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Medicare Enrollment ID | O20140922000518 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619383072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904001549 (Virginia) | Primary |
Provider Name | Susan G Myers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053314799 PECOS PAC ID: 2961452271 Enrollment ID: I20050125000494 |
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