| Jessica Renee Miller, LCSW | |
|
11835 Hazel Circle Dr, Bristow, VA 20136-1223 | |
| (703) 310-7378 | |
| (866) 244-0065 |
| Full Name | Jessica Renee Miller |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 10 Years |
| Location | 11835 Hazel Circle Dr, Bristow, 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 |
|---|---|---|---|
| 1124478979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904011234 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspring Child And Family Psychology, Pc | 5294036513 | 9 |
| Entity Name | Wellspring Child And Family Psychology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477962421 PECOS PAC ID: 5294036513 Enrollment ID: O20151210001323 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Renee Miller, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: (703) 310-7378 | Jessica Renee Miller, LCSW 11835 Hazel Circle Dr, Bristow, VA 20136-1223 Ph: (703) 310-7378 |
Mr. Kenneth Richard Thau, M.S.W., J.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Sequoia Park Way, Bristow, VA 20136 Phone: 202-320-5322 | |
Chidera B Anumudu, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-659-9900 | |
Aubrey Anne New, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 11835 Hazel Circle Dr, Bristow, VA 20136 Phone: 703-396-7605 | |
Kathleen Lucy Persson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 | |
Cindy Lin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10020 Three Sisters Ct, Bristow, VA 20136 Phone: 703-989-9808 | |
Mrs. Tracy Eileen Quinn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9535 Linton Hall Rd, Bristow, VA 20136 Phone: 703-369-3800 Fax: 703-369-3877 |