| Gina Justice, | |
|
184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 | |
| (304) 236-5902 | |
| Not Available |
| Full Name | Gina Justice |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 184 E 2nd Ave, Williamson, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730586470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00944247 (West Virginia) | Primary |
| Entity Name | Williamson Health & Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467711150 PECOS PAC ID: 5395972996 Enrollment ID: O20140521000620 |
| Entity Name | Williamson Health & Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942840384 PECOS PAC ID: 5395972996 Enrollment ID: O20210308001675 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Justice, Po Box 2080, Williamson, WV 25661-2080 Ph: (304) 236-5902 | Gina Justice, 184 E 2nd Ave, Ste 210, Williamson, WV 25661-3602 Ph: (304) 236-5902 |
Breanna L Fields, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 660 Howard Holw, Williamson, WV 25661 Phone: 304-928-7342 | |
Mr. James Anthony Smith, BSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1609 W 3rd Ave, Williamson, WV 25661 Phone: 304-235-0026 Fax: 304-235-0028 | |
Dana Kay Strom, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 118 Joseph Ave, Williamson, WV 25661 Phone: 304-443-3544 | |
Traci Lyn Kramer, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 184 E 2nd Ave Ste 210, Williamson, WV 25661 Phone: 304-236-5902 |