| Mrs Jennifer Jordan Tennyson, LCSW | |
|
1655 Marigold Cir, Rockingham, VA 22801-2443 | |
| (302) 540-8789 | |
| Not Available |
| Full Name | Mrs Jennifer Jordan Tennyson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1655 Marigold Cir, Rockingham, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407467194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904009636 (Virginia) | Primary |
| Entity Name | Deer Oaks Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619112612 PECOS PAC ID: 7719251875 Enrollment ID: O20170928000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Jordan Tennyson, LCSW 1655 Marigold Cir, Rockingham, VA 22801-2443 Ph: (302) 540-8789 | Mrs Jennifer Jordan Tennyson, LCSW 1655 Marigold Cir, Rockingham, VA 22801-2443 Ph: (302) 540-8789 |
Rachel Catherine Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2010 Health Campus Dr, Rockingham, VA 22801 Phone: 540-689-1374 | |
Molly Reardon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3360 Emmaus Rd, Rockingham, VA 22801 Phone: 540-437-1605 Fax: 540-437-1606 | |
Tanya Yaretzy Gomez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3360 Emmaus Rd, Rockingham, VA 22801 Phone: 540-437-1605 Fax: 540-437-1606 | |
Carrie F Post, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6018 Houndschase Ln, Rockingham, VA 22801 Phone: 540-246-4072 |