Virginia Oak Counseling, Llc | |
312 E Market St Ste F Leesburg VA 20176-4173 | |
(703) 493-0467 | |
Not Available |
Full Name | Virginia Oak Counseling, Llc |
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Speciality | Social Worker |
Location | 312 E Market St Ste F, Leesburg, Virginia |
Authorized Official Name and Position | Amanda Palmer (BILLING AGENT) |
Authorized Official Contact | 5409750787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Virginia Oak Counseling, Llc Po Box 103 Bluemont VA 20135-0103 Ph: (703) 493-0467 | Virginia Oak Counseling, Llc 312 E Market St Ste F Leesburg VA 20176-4173 Ph: (703) 493-0467 |
NPI Number | 1982161238 |
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Provider Enumeration Date | 02/22/2019 |
Last Update Date | 03/16/2022 |
Certification Date | 03/16/2022 |
Medicare PECOS PAC ID | 4981945870 |
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Medicare Enrollment ID | O20190402001314 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982161238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Patricia L Gray |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902978349 PECOS PAC ID: 3173823093 Enrollment ID: I20151127000014 |
Provider Name | Amanda Babineau-larose |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740460989 PECOS PAC ID: 3779824669 Enrollment ID: I20190402001502 |
Provider Name | Jami Temple |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720117781 PECOS PAC ID: 3577996644 Enrollment ID: I20191203001903 |
Provider Name | Tanisha N Robinson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1093217903 PECOS PAC ID: 5496189920 Enrollment ID: I20191216003075 |
Provider Name | Marybeth Albence |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164069944 PECOS PAC ID: 7618302027 Enrollment ID: I20200113002029 |
Provider Name | Dominique Danquah |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164005617 PECOS PAC ID: 5799188611 Enrollment ID: I20210729000424 |
Provider Name | Dawn Weiss Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467051383 PECOS PAC ID: 9931555315 Enrollment ID: I20231020001041 |
Provider Name | Darcy Bauer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417734674 PECOS PAC ID: 5193171718 Enrollment ID: I20231101003767 |
Provider Name | Shawn Ngoc Pham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346805025 PECOS PAC ID: 2668810052 Enrollment ID: I20240404000634 |
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