| Virginia D Whittington, Lcsw Inc. | |
|
2328 Manatee Ave W Bradenton FL 34205-4957 | |
| (941) 708-0896 | |
| (941) 747-1696 |
| Full Name | Virginia D Whittington, Lcsw Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2328 Manatee Ave W, Bradenton, Florida |
| Authorized Official Name and Position | Virginia D Whittington (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9417080896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia D Whittington, Lcsw Inc. 2328 Manatee Ave W Bradenton FL 34205-4957 Ph: (941) 708-0896 | Virginia D Whittington, Lcsw Inc. 2328 Manatee Ave W Bradenton FL 34205-4957 Ph: (941) 708-0896 |
| NPI Number | 1720389760 |
|---|---|
| Provider Enumeration Date | 11/08/2010 |
| Last Update Date | 11/08/2010 |
| Medicare PECOS PAC ID | 4486849700 |
|---|---|
| Medicare Enrollment ID | O20101112000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720389760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | SW5658 (Florida) | Primary |
| Provider Name | Virginia D Whittington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023019866 PECOS PAC ID: 6507051638 Enrollment ID: I20101115000335 |
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