| Katherine Jamison Fordham, LCSW | |
|
10003 Courtview Ln Ste B, Chesterfield, VA 23832-6682 | |
| (804) 898-3800 | |
| Not Available |
| Full Name | Katherine Jamison Fordham |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 10003 Courtview Ln Ste B, Chesterfield, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952978876 | NPI | - | NPPES |
| 0904012384 | Other | VA | COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS, BOARD OF SOCIAL WORK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012384 (Virginia) | Primary |
| Entity Name | Old Towne Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487855003 PECOS PAC ID: 7618149865 Enrollment ID: O20111011000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Jamison Fordham, LCSW 10003 Courtview Ln Ste B, Chesterfield, VA 23832-6682 Ph: (804) 898-3800 | Katherine Jamison Fordham, LCSW 10003 Courtview Ln Ste B, Chesterfield, VA 23832-6682 Ph: (804) 898-3800 |
Heather Angel Hensley, LCSW, CAMT, C-DBT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-751-2297 | |
Mr. Joel A Imburg, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659 | |
Mrs. Kristen Turso-whitlow, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14724 Clover Ridge Ln, Chesterfield, VA 23832 Phone: 434-906-5172 | |
Amanda Mcwhite, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659 | |
Mr. Corey Ashton Tolliver Sr., LMHP-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7000 Holridge Ct, Chesterfield, VA 23832 Phone: 804-314-8785 | |
Ms. Kathleen B Sproul, L.C.S.W. Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1227 Fax: 804-717-6659 | |
Michael B Hartsock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6801 Lucy Corr Ct, Chesterfield, VA 23832 Phone: 804-748-1223 Fax: 804-318-8041 |