| Jazmyn Wilson, | |
|
Po Box 974, Glen Allen, VA 23060-0974 | |
| (703) 493-0407 | |
| Not Available |
| Full Name | Jazmyn Wilson |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | Po Box 974, Glen Allen, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124696042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22675 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Entity Name | Safe Harbor Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Jazmyn Wilson, Po Box 974, Glen Allen, VA 23060-0974 Ph: (804) 592-6696 | Jazmyn Wilson, Po Box 974, Glen Allen, VA 23060-0974 Ph: (703) 493-0407 |
Lisa Bessette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-727-8500 Fax: 804-727-8580 | |
Stacia Macklin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5016 Broad Meadows Rd, Glen Allen, VA 23060 Phone: 804-836-2931 | |
Sonya A. Donaldson-bates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-727-8500 Fax: 804-727-8580 | |
Ms. Carolyn Yvonne Arthur, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-727-8500 Fax: 804-727-8580 | |
Suzanne M Christopher, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 10187 Brook Rd, Glen Allen, VA 23059 Phone: 804-266-7631 Fax: 804-264-6127 | |
Wayne David Prebor Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5374 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 540-699-0226 | |
Nicholas Tate Tomlinson, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Concourse Blvd, Glen Allen, VA 23059 Phone: 804-374-9484 |