| Lindsay Cole Wallace, | |
|
3910 Applegate Ct, Fredericksburg, VA 22408-9639 | |
| (202) 573-7103 | |
| Not Available |
| Full Name | Lindsay Cole Wallace |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 3910 Applegate Ct, Fredericksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053868042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904014939 (Virginia) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsay Cole Wallace, 3910 Applegate Ct, Fredericksburg, VA 22408-9639 Ph: () - | Lindsay Cole Wallace, 3910 Applegate Ct, Fredericksburg, VA 22408-9639 Ph: (202) 573-7103 |
Mrs. Terrila Ann Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10700 Ballantraye Dr, Suite 104, Fredericksburg, VA 22407 Phone: 540-841-4065 Fax: 540-301-0500 | |
Joanna Lafratta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1320 Central Park Blvd Ste 216, Fredericksburg, VA 22401 Phone: 540-642-0191 | |
Katherine Dervin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12000 Kennedy Ln, Suite 100, Fredericksburg, VA 22407 Phone: 540-548-2063 Fax: 540-548-2962 | |
Ms. Beth L Collins, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 639 Kings Hwy, Fredericksburg, VA 22405 Phone: 540-850-1994 | |
Linda Mixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2217 Princess Anne St Ste 105-6, Fredericksburg, VA 22401 Phone: 540-809-8970 Fax: 540-373-2922 | |
Joyce Catherine Corbin Moya, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 19003 Main Street, Fredericksburg, VA 22408 Phone: 540-684-8962 | |
Traci Lee Demerchant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10712 Ballantraye Dr, Suite 304, Fredericksburg, VA 22407 Phone: 540-242-8970 Fax: 540-710-9299 |