| Dr Keith Edward Fender, PHD, LCSW | |
|
519 2nd St, Radford, VA 24141-1403 | |
| (540) 639-9040 | |
| (540) 639-9040 |
| Full Name | Dr Keith Edward Fender |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 519 2nd St, Radford, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568425635 | NPI | - | NPPES |
| 8927286 | Medicaid | VA | |
| 337626 | Other | VA | TRIGON/ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004405 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Edward Fender, PHD, LCSW 519 2nd St, Radford, VA 24141-1403 Ph: (540) 639-9040 | Dr Keith Edward Fender, PHD, LCSW 519 2nd St, Radford, VA 24141-1403 Ph: (540) 639-9040 |
Lauren Barnett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 Fax: 540-904-0051 | |
Christina Watty, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 Fax: 540-961-8465 | |
Mr. James Scott Law, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 710 10th St, Radford, VA 24141 Phone: 540-238-3227 | |
Laura Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 W Main St, Radford, VA 24141 Phone: 540-838-8000 Fax: 540-904-0051 | |
Mrs. Sheila Jones Lightburn, LCSW MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-731-0838 Fax: 540-731-3375 | |
Mrs. Gwynn Johnson Polidoro, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 200 8th St, Radford, VA 24141 Phone: 540-731-0838 Fax: 540-731-3375 | |
Summer Rain Lisanti, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4003 Bains Chapel Rd, Radford, VA 24141 Phone: 540-818-7963 |