| Francisco Javier Cornejo, | |
| 9705 Liberia Ave Ste 201, Manassas, VA 20110-1744 | |
| (703) 680-7950 | |
| Not Available | 
| Full Name | Francisco Javier Cornejo | 
|---|---|
| Gender | Male | 
| Speciality | Social Worker - Clinical | 
| Location | 9705 Liberia Ave Ste 201, Manassas, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316717952 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904016175 (Virginia) | Primary | 
| Entity Name | Greater Prince William Area Community Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366591562 PECOS PAC ID: 9436258209 Enrollment ID: O20070619000479 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Francisco Javier Cornejo, 9705 Liberia Ave Ste 201, Manassas, VA 20110-1744 Ph: () - | Francisco Javier Cornejo, 9705 Liberia Ave Ste 201, Manassas, VA 20110-1744 Ph: (703) 680-7950 | 
| Mrs. Cynthia Rebecca Lane-hand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
| Ms. Linda Diana Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10530 Linden Lake Plz, 200, Manassas, VA 20109 Phone: 703-392-6707 | |
| Jennifer Sarisky, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8575 Rixlew Ln, Manassas, VA 20109 Phone: 301-593-1315 Fax: 301-681-4699 | |
| Kelly Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10535 Crestwood Dr, Suite 201, Manassas, VA 20109 Phone: 703-492-2686 | |
| Mary Lou Fahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
| Jacquelyn Marie Brannock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
| Gia Thi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7982 Donegan Drive, Manassas, VA 20109 Phone: 571-723-9461 |