| Woodbridge Therapy Group Llc | |
|
12721 Darby Brooke Ct. Suite 102 Woodbridge VA 22193 | |
| (703) 497-1771 | |
| (703) 497-1225 |
| Full Name | Woodbridge Therapy Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 12721 Darby Brooke Ct., Woodbridge, Virginia |
| Authorized Official Name and Position | Hemini Naik Woods (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5713382035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Therapy Group Llc 12721 Darby Brooke Ct. Suite 102 Woodbridge VA 22193 Ph: (703) 497-1771 | Woodbridge Therapy Group Llc 12721 Darby Brooke Ct. Suite 102 Woodbridge VA 22193 Ph: (703) 497-1771 |
| NPI Number | 1427421627 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 11/10/2015 |
| Medicare PECOS PAC ID | 0840547824 |
|---|---|
| Medicare Enrollment ID | O20180723000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427421627 | NPI | - | NPPES |
| Provider Name | Hemini P Naik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629370457 PECOS PAC ID: 6901080290 Enrollment ID: I20110411000866 |
| Provider Name | Clare G Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215165428 PECOS PAC ID: 8022242015 Enrollment ID: I20131007000250 |
| Provider Name | Patrick J Curley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649655077 PECOS PAC ID: 2961704218 Enrollment ID: I20160105000209 |
| Provider Name | Jaime L Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275914301 PECOS PAC ID: 5092068767 Enrollment ID: I20181025002237 |
| Provider Name | Naomi L Peyerl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497023931 PECOS PAC ID: 2769640689 Enrollment ID: I20181210003019 |
| Provider Name | Sharquita Renee Dudley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558989293 PECOS PAC ID: 8921411604 Enrollment ID: I20210120000501 |
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