| Jennifer J Watson, LCSW | |
| 10755 Ambassador Dr Ste 201, Manassas, VA 20109-2527 | |
| (715) 589-3907 | |
| Not Available | 
| Full Name | Jennifer J Watson | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 10755 Ambassador Dr 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 | 
|---|---|---|---|
| 1083992762 | NPI | - | NPPES | 
| 1083992762 | Medicaid | IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008550 (Virginia) | Primary | 
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 | 
| Entity Name | Thrive Counseling Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer J Watson, LCSW 1000 Jefferson St Ste 1b, Lynchburg, VA 24504-1724 Ph: (434) 485-5500 | Jennifer J Watson, LCSW 10755 Ambassador Dr Ste 201, Manassas, VA 20109-2527 Ph: (715) 589-3907 | 
| 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 |