| Mr Derwin Darrell Harris, LCSW | |
|
5413 Backlick Rd Ste A, Springfield, VA 22151-3915 | |
| (571) 342-0045 | |
| Not Available |
| Full Name | Mr Derwin Darrell Harris |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 13 Years |
| Location | 5413 Backlick Rd Ste A, Springfield, Virginia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952403115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11899 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 09040012424 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbia Associates In Psychiatry Pc | 7113165739 | 77 |
| Columbia Associates In Psychiatry Pc | 7113165739 | 77 |
| Columbia Associates In Psychiatry Pc | 7113165739 | 77 |
| Entity Name | Cornerstone Montgomery Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194725739 PECOS PAC ID: 3971591751 Enrollment ID: O20040501000320 |
| Entity Name | Columbia Associates In Psychiatry Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699012930 PECOS PAC ID: 7113165739 Enrollment ID: O20130521000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Derwin Darrell Harris, LCSW 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 Ph: (571) 342-0045 | Mr Derwin Darrell Harris, LCSW 5413 Backlick Rd Ste A, Springfield, VA 22151-3915 Ph: (571) 342-0045 |
Ms. Mary Carol Owen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8136 Old Keene Mill Rd, Suite 209-a, Springfield, VA 22152 Phone: 703-644-2361 Fax: 703-913-8563 | |
Mr. Randall Christopher O'toole, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8000 Forbes Pl, Suite #210, Springfield, VA 22151 Phone: 703-425-9200 Fax: 703-425-9206 | |
Ms. Dianna Jeanne Dresser-heckman, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6551 Loisdale Ct, Sutie 155, Springfield, VA 22150 Phone: 703-921-0692 | |
Mrs. Katherine Ellen Castelo, LICSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6709 Bellamy Ave, Springfield, VA 22152 Phone: 703-201-0108 | |
Lauren Koontz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6120 Brandon Ave Ste 315, Springfield, VA 22150 Phone: 703-946-4713 | |
Rebecca Sevillano Keegan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6563 Edsall Rd, Springfield, VA 22151 Phone: 703-354-0000 | |
Catherine L Kestle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8136 Old Keene Mill Rd,, Suite A-302, Springfield, VA 22152 Phone: 703-913-8563 Fax: 703-913-8565 |