| Jennifer Sarisky, LCSW | |
| 8575 Rixlew Ln, Manassas, VA 20109-3701 | |
| (301) 593-1315 | |
| (301) 681-4699 | 
| Full Name | Jennifer Sarisky | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 8575 Rixlew Ln, 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 | 
|---|---|---|---|
| 1043034341 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007836 (Virginia) | Primary | 
| Entity Name | Psychogeriatric Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20150717001653 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Sarisky, LCSW 12073 Tech Rd Ste B, Silver Spring, MD 20904-7874 Ph: (301) 593-1315 | Jennifer Sarisky, LCSW 8575 Rixlew Ln, Manassas, VA 20109-3701 Ph: (301) 593-1315 | 
| 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 | |
| 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 |