| Mr Jerry William Maccauley, LCSW | |
|
411 Cedar Rd, Chesapeake, VA 23322-5566 | |
| (757) 548-8848 | |
| (757) 549-1347 |
| Full Name | Mr Jerry William Maccauley |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 411 Cedar Rd, Chesapeake, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083611032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904002572 (Virginia) | Primary |
| Entity Name | Beach Counseling Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689162547 PECOS PAC ID: 7012267172 Enrollment ID: O20180911001900 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jerry William Maccauley, LCSW 411 Cedar Rd, Chesapeake, VA 23322-5566 Ph: (757) 548-8848 | Mr Jerry William Maccauley, LCSW 411 Cedar Rd, Chesapeake, VA 23322-5566 Ph: (757) 548-8848 |
Ashley Wright, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 712 Nottaway Dr, Chesapeake, VA 23320 Phone: 757-553-7698 | |
Dr. Linda Sue Mintle, PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 715 Watch Island Reach, Chesapeake, VA 23320 Phone: 757-549-2255 Fax: 757-549-2255 | |
Sentoria H Harold, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 920 Ventures Way Ste 4, Chesapeake, VA 23320 Phone: 757-752-5743 | |
Eileen Buck, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1021 Eden Way N Ste 123, Chesapeake, VA 23320 Phone: 757-698-4247 | |
Jacquelyn Feliciano, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, Chesapeake, VA 23320 Phone: 757-819-6219 Fax: 757-819-6292 | |
Josette M Creel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 224 Great Bridge Blvd, City Of Chesapeake Ta Chesap. Comm.serv Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 | |
Mrs. Shaena Wiggins, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2707 Faulkner Dr, Chesapeake, VA 23321 Phone: 757-515-9392 |