| Jessica Stallard, LCSW | |
|
1120 Bypass Rd, Vinton, VA 24179 | |
| (540) 767-2667 | |
| (540) 767-2669 |
| Full Name | Jessica Stallard |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1120 Bypass Rd, Vinton, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083046593 | NPI | - | NPPES |
| 1437137734 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008299 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Stallard, LCSW 1120 Bypass Rd, Vinton, VA 24179 Ph: (540) 767-2667 | Jessica Stallard, LCSW 1120 Bypass Rd, Vinton, VA 24179 Ph: (540) 767-2667 |
Chrystal Cook, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 260 Gunn Ave, Vinton, VA 24179 Phone: 540-206-6604 | |
Tracie Michelle Etter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1120 Bypass Road, Vinton, VA 24179 Phone: 540-767-2667 Fax: 540-767-2669 |