| Mrs Kelly L Cipera, LCSW, LISW | |
|
10432 Balls Ford Rd Ste 300, Manassas, VA 20109 | |
| (571) 469-7106 | |
| Not Available |
| Full Name | Mrs Kelly L Cipera |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 8 Years |
| Location | 10432 Balls Ford Rd Ste 300, Manassas, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174131841 | NPI | - | NPPES |
| I.2203500 | Other | OH | LICENSED INDEPENDENT SOCIAL WORKER |
| 0904012107 | Other | VA | LICENCED CLINICAL SOCIAL WORKER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904012107 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nova Telemental Health Llc | 2365858438 | 2 |
| Entity Name | Nova Telemental Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174146708 PECOS PAC ID: 2365858438 Enrollment ID: O20210316000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kelly L Cipera, LCSW, LISW 10432 Balls Ford Rd Ste 300, Manassas, VA 20109-2517 Ph: (571) 469-7106 | Mrs Kelly L Cipera, LCSW, LISW 10432 Balls Ford Rd Ste 300, Manassas, VA 20109 Ph: (571) 469-7106 |
Micaela Soledad Gimenez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9320 Lee Ave, Manassas, VA 20110 Phone: 703-792-6420 | |
Mrs. Cynthia Rebecca Lane-hand, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Ms. Linda Diana Malone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10530 Linden Lake Plz, 200, Manassas, VA 20109 Phone: 703-392-6707 | |
Jennifer Sarisky, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8575 Rixlew Ln, Manassas, VA 20109 Phone: 301-593-1315 Fax: 301-681-4699 | |
Kelly Terry, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10535 Crestwood Dr, Suite 201, Manassas, VA 20109 Phone: 703-492-2686 | |
Mary Lou Fahey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Jacquelyn Marie Brannock, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 |