| Christen Panissidi, LCSW | |
|
11835 Hazel Circle Dr, Bristow, VA 20136-1223 | |
| (757) 705-6823 | |
| Not Available |
| Full Name | Christen Panissidi |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 11835 Hazel Circle Dr, Bristow, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750907762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904011938 (Virginia) | Primary |
| Entity Name | Safe Harbor Behavioral Care Of Northern Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043660905 PECOS PAC ID: 0446531040 Enrollment ID: O20161219001684 |
| Mailing Address | Practice Location Address |
|---|---|
| Christen Panissidi, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: () - | Christen Panissidi, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: (757) 705-6823 |
Mr. Kenneth Richard Thau, M.S.W., J.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Sequoia Park Way, Bristow, VA 20136 Phone: 202-320-5322 | |
Chidera B Anumudu, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-659-9900 | |
Jessica Renee Miller, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-310-7378 Fax: 866-244-0065 | |
Aubrey Anne New, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-396-7605 | |
Kathleen Lucy Persson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 | |
Cindy Lin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10020 Three Sisters Ct, Bristow, VA 20136 Phone: 703-989-9808 | |
Mrs. Tracy Eileen Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 |