| Michelle L Toland, LCSW | |
|
199 Liberty St Sw, Leesburg, VA 20175-2715 | |
| (804) 207-6737 | |
| (804) 730-2829 |
| Full Name | Michelle L Toland |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 199 Liberty St Sw, Leesburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710235627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012934 (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | CW024421 (Pennsylvania) | Secondary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Toland, LCSW 199 Liberty St Sw, Leesburg, VA 20175-2715 Ph: (804) 207-6737 | Michelle L Toland, LCSW 199 Liberty St Sw, Leesburg, VA 20175-2715 Ph: (804) 207-6737 |
Jaime Bosserman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 | |
Karen Scarpino Kunzwiler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 44080 Riverpoint Dr, Leesburg, VA 20176 Phone: 443-799-6500 | |
Tammy Johnston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 42009 Victory Ln, Leesburg, VA 20176 Phone: 330-758-4515 Fax: 330-758-5121 | |
Ms. Roshontia Haas, MSS, MLSP, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 102 Heritage Way Ne, Leesburg, VA 20176 Phone: 703-771-5681 | |
Lynn Gurley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 102, Leesburg, VA 20176 Phone: 703-777-0320 | |
John Scott Zeiter, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 Childrens Center Rd Sw, Leesburg, VA 20175 Phone: 703-777-3485 Fax: 703-777-4887 | |
Michelle Martin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 102 Heritage Way Ne Ste 302, Leesburg, VA 20176 Phone: 703-771-5100 Fax: 703-777-0170 |