| Kathryn Jane Persons, LCSW | |
|
825 Diligence Dr Ste 206, Newport News, VA 23606-4272 | |
| (757) 310-6900 | |
| (757) 240-5936 |
| Full Name | Kathryn Jane Persons |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 33 Years |
| Location | 825 Diligence Dr Ste 206, Newport News, 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 |
|---|---|---|---|
| 1366597254 | NPI | - | NPPES |
| 1898906 | Medicaid | MA | |
| P07340 | Other | MA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 107865 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904008085 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Medical And Psychiatric Services Inc | 4183948060 | 14 |
| Entity Name | Coastal Medical And Psychiatric Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134460132 PECOS PAC ID: 4183948060 Enrollment ID: O20150124000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Jane Persons, LCSW 911 Ironwood Dr, Yorktown, VA 23693-5563 Ph: (774) 788-1064 | Kathryn Jane Persons, LCSW 825 Diligence Dr Ste 206, Newport News, VA 23606-4272 Ph: (757) 310-6900 |
Mrs. Verneka Chanette Hudson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 857 Wilmont Ln, Newport News, VA 23608 Phone: 757-872-9092 | |
Kiara Robinson, LCSW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 732 Thimble Shoals Blvd Ste 702, Newport News, VA 23606 Phone: 757-309-7027 | |
Mr. Robert J. Kelly, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11825 Rock Landing Dr, 100 James Bldg., Newport News, VA 23606 Phone: 757-873-1736 | |
Dr. Susan Cummings Nicholson, PHD, LCSW, BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 703 Thimble Shoals Blvd, A-3, Newport News, VA 23606 Phone: 757-873-3401 Fax: 757-223-1165 | |
Keara Katherine Cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 Harrington Rd, Newport News, VA 23602 Phone: 757-912-2409 | |
Ms. Shana Tandrieka Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 59 Otsego Dr, Newport News, VA 23602 Phone: 757-544-3048 | |
Desaray Garland, LCSW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 732 Thimble Shoals Blvd Ste 702, Newport News, VA 23606 Phone: 757-309-7027 |