| Denise Evadne Tatum, LCSW | |
| 10138 Hull Street Rd, Midlothian, VA 23112-3357 | |
| (804) 744-1114 | |
| (804) 893-1114 | 
| Full Name | Denise Evadne Tatum | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 10138 Hull Street Rd, Midlothian, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821670100 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012754 (Virginia) | Primary | 
| Entity Name | Thrive Counseling Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 | 
| Entity Name | Supportive Care Of Virginia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801485354 PECOS PAC ID: 2961816731 Enrollment ID: O20210208000520 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Denise Evadne Tatum, LCSW 3900 W Broad St, Richmond, VA 23230-3914 Ph: (804) 353-4461 | Denise Evadne Tatum, LCSW 10138 Hull Street Rd, Midlothian, VA 23112-3357 Ph: (804) 744-1114 | 
| Megan Elizabeth Mastrofrancesco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1713 Tremelo Trl, Midlothian, VA 23113 Phone: 571-428-3193 | |
| Dena Maria Wentz,  Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 855-284-7483 Fax: 617-807-0958 | |
| Kathleen S Levenston, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5001 W Village Green Dr Ste 205, Midlothian, VA 23112 Phone: 833-510-4357 | |
| Jennifer Zito, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 Founders Bridge Blvd, Midlothian, VA 23113 Phone: 804-210-5448 | |
| G. Tricia Baggett-phelps, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10128 Hull Street Rd, Midlothian, VA 23112 Phone: 804-276-5761 Fax: 804-745-3626 | |
| Ms. Sandra Goolsby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13301 Midlothian Tpke Ste D, Midlothian, VA 23113 Phone: 804-464-1928 | |
| Yesenia Villalta,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14321 Winter Breeze Dr # 50, Midlothian, VA 23113 Phone: 571-317-1833 |