| Mrs Mary Hunter Sudduth, LCSW | |
|
622 Main St, Warsaw, VA 22572-4280 | |
| (804) 472-3706 | |
| (866) 639-3167 |
| Full Name | Mrs Mary Hunter Sudduth |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 32 Years |
| Location | 622 Main St, Warsaw, 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 |
|---|---|---|---|
| 1295975902 | NPI | - | NPPES |
| 600669-942 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006847 (Virginia) | Primary |
| Entity Name | Wellness Place, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851628911 PECOS PAC ID: 7719018167 Enrollment ID: O20100628001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Hunter Sudduth, LCSW 622 Main St, Warsaw, VA 22572-4280 Ph: (804) 472-3706 | Mrs Mary Hunter Sudduth, LCSW 622 Main St, Warsaw, VA 22572-4280 Ph: (804) 472-3706 |
Lancie Mazza, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-3671 Fax: 804-333-3657 | |
Ronita Bundy, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-3671 | |
Mr. Albert Leonidas (lee) Archard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-3671 | |
Ronnie Nelson Sidney Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-6966 | |
Judith H Notarianni, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-3671 Fax: 804-333-3657 | |
Lynne M Cerar, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 414 Main St, Warsaw, VA 22572 Phone: 804-333-3671 Fax: 804-333-3657 |