| Ellen Kathleen Labgold, LCSW | |
|
102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | |
| (703) 771-5100 | |
| (703) 777-0170 |
| Full Name | Ellen Kathleen Labgold |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 102 Heritage Way Ne Ste 302, Leesburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104391622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012586 (Virginia) | Primary |
| Entity Name | Southlight Counseling, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992436653 PECOS PAC ID: 1557737954 Enrollment ID: O20221025003500 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Kathleen Labgold, LCSW Po Box 7400, Leesburg, VA 20177-7400 Ph: (703) 771-5100 | Ellen Kathleen Labgold, LCSW 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 Ph: (703) 771-5100 |
Jaime Bosserman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 | |
Karen Scarpino Kunzwiler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44080 Riverpoint Dr, Leesburg, VA 20176 Phone: 443-799-6500 | |
Tammy Johnston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42009 Victory Ln, Leesburg, VA 20176 Phone: 330-758-4515 Fax: 330-758-5121 | |
Ms. Roshontia Haas, MSS, MLSP, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 102 Heritage Way Ne, Leesburg, VA 20176 Phone: 703-771-5681 | |
Lynn Gurley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 102, Leesburg, VA 20176 Phone: 703-777-0320 | |
John Scott Zeiter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 Fax: 703-777-4887 | |
Michelle Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 302, Leesburg, VA 20176 Phone: 703-771-5100 Fax: 703-777-0170 |