| Mrs Andrea Marie Davis-gordon, LCSW | |
|
401 Courage Way, Virginia Beach, VA 23451-5594 | |
| (757) 734-1866 | |
| (757) 734-1882 |
| Full Name | Mrs Andrea Marie Davis-gordon |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 401 Courage Way, Virginia Beach, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376831024 | NPI | - | NPPES |
| Q38487A | Medicaid | VA | |
| 1871542340 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW18612 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904007613 (Virginia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Andrea Marie Davis-gordon, LCSW 401 Courage Way, Virginia Beach, VA 23451-5594 Ph: (757) 478-1502 | Mrs Andrea Marie Davis-gordon, LCSW 401 Courage Way, Virginia Beach, VA 23451-5594 Ph: (757) 734-1866 |
Erin Mcmenamin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1909 Split Rail Dr, Virginia Beach, VA 23453 Phone: 215-480-8888 | |
Mr. Garry Strawn Cofield, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1630 Donna Dr Ste 102, Virginia Beach, VA 23451 Phone: 757-425-5050 Fax: 757-425-1389 | |
Ms. Susan O Giddings, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 N Lynnhaven Rd Ste 103, Virginia Beach, VA 23452 Phone: 757-486-6955 Fax: 757-486-3258 | |
Margaret Lubas, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 4509 Whitechapel Dr, Virginia Beach, VA 23455 Phone: 757-460-4655 | |
Chavonne Sharese Grant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1832 Kempsville Rd, Ste 112 #347, Virginia Beach, VA 23464 Phone: 718-872-8833 | |
Ms. Ingrid Kimberlee Chucker, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6477 College Park Sq, Suite 302, Virginia Beach, VA 23464 Phone: 757-424-0100 Fax: 757-424-5623 | |
Laurie Grant, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1072 Laskin Rd Ste 104, Virginia Beach, VA 23451 Phone: 757-648-8605 Fax: 757-648-1363 |