Mr Amin Ella Faiz, MSW, LCSW | |
200 Veterans Ave, Beckley, WV 25801-6444 | |
(304) 255-2121 | |
Not Available |
Full Name | Mr Amin Ella Faiz |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 200 Veterans Ave, Beckley, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215216684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904013524 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | DP00943879 (West Virginia) | Primary |
Entity Name | Mount Rogers Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255365599 PECOS PAC ID: 1254387475 Enrollment ID: O20050510001179 |
Mailing Address | Practice Location Address |
---|---|
Mr Amin Ella Faiz, MSW, LCSW 1511 N Walker St, Princeton, WV 24740-2651 Ph: (304) 255-2121 | Mr Amin Ella Faiz, MSW, LCSW 200 Veterans Ave, Beckley, WV 25801-6444 Ph: (304) 255-2121 |
Ms. Cheryl Jane Walters, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 200 Veterans Ave, Va Medical Center, Beckley, WV 25801 Phone: 304-255-2121 Fax: 304-256-5483 | |
Carla Michelle White-phillips, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 26 Bunting Ln, Beckley, WV 25801 Phone: 304-890-1614 | |
Mrs. Portia J Parker, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121 Fax: 304-255-2431 | |
Miss Kirsten Nicole Daniel, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Mallard Ct, Beckley, WV 25801 Phone: 304-255-7526 | |
Colten E Helmandollar, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 101 S Eisenhower Dr, Beckley, WV 25801 Phone: 304-256-7100 | |
Wilson Shadwell Smith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25 Mallard Court, Beckley, WV 25801 Phone: 304-255-7526 | |
Ms. Jennifer Leigh Paugh, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Veterans Ave, Beckley, WV 25801 Phone: 304-255-2121 |