| Caitlyn Wallace, LCSW | |
|
3910 Old Buckingham Rd, Powhatan, VA 23139-5757 | |
| (804) 598-2200 | |
| Not Available |
| Full Name | Caitlyn Wallace |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 6 Years |
| Location | 3910 Old Buckingham Rd, Powhatan, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013873579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904019712 (Virginia) | Primary |
| Entity Name | Goochland Powhatan Community Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467448571 PECOS PAC ID: 5193812501 Enrollment ID: O20071101000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlyn Wallace, LCSW 3910 Old Buckingham Rd Ste A, Powhatan, VA 23139-5757 Ph: Not Available | Caitlyn Wallace, LCSW 3910 Old Buckingham Rd, Powhatan, VA 23139-5757 Ph: (804) 598-2200 |
Allison Middleton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3612 Bolling Rd, Powhatan, VA 23139 Phone: 804-921-5270 |
Alyssa Faith Shadbolt, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3910 Old Buckingham Rd, Powhatan, VA 23139 Phone: 804-464-8803 |
Gwendolyn Ligh Bohn, MT, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1480 Oak Bridge Ct, Powhatan, VA 23139 Phone: 804-423-1389 Fax: 804-423-1393 |
Mr. Stephen Siewers Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1480 Oakbridge Ct., Powhatan, VA 23139 Phone: 804-423-1389 Fax: 804-423-1393 |
Ms. Carol Montgomery-jennings, MA LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2142 Plainview Center, Powhatan, VA 23139 Phone: 804-598-9105 Fax: 804-598-6379 |
Lindsey M Price, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2164 Plainview Ctr, Powhatan, VA 23139 Phone: 804-743-0960 |
Tyler Adam Cepeda-laporte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4309 Old Buckingham Rd, Powhatan, VA 23139 Phone: 434-390-8270 |