| Elizabeth K Davenport, LCSW | |
|
43 Champions Ave, Big Stone Gap, VA 24219-1105 | |
| (276) 523-8300 | |
| (276) 523-6964 |
| Full Name | Elizabeth K Davenport |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 43 Champions Ave, Big Stone Gap, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194584599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904016549 (Virginia) | Primary |
| Entity Name | Frontier Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720147408 PECOS PAC ID: 2860302320 Enrollment ID: O20040206000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth K Davenport, LCSW 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Elizabeth K Davenport, LCSW 43 Champions Ave, Big Stone Gap, VA 24219-1105 Ph: (276) 523-8300 |
Troy Adam Boring Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Canonchet Ave E, Big Stone Gap, VA 24219 Phone: 276-690-5419 | |
Cynthia Dickson Sharitt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 423-467-3644 | |
Mrs. Sandra S Odell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Big Stone Gap, VA 24219 Phone: 276-523-4235 Fax: 276-523-8383 | |
Mrs. Sharon Clemons Taylor, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Ave E, Wise Co Behavioral Health Services, Big Stone Gap, VA 24219 Phone: 276-523-8300 Fax: 276-523-6964 | |
Ms. Jennifer Denise Fox, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3169 2nd Avenue East, Wise County Behavioral Health, Big Stone Gap, VA 24219 Phone: 276-523-8360 Fax: 276-523-8362 | |
Sherry Whitt, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 E 19th St N, Big Stone Gap, VA 24219 Phone: 276-694-7690 |