| Ms Jacqueline Leigh Tyler, LCSW | |
|
2504 Patrick St, Vienna, VA 22180-6844 | |
| (703) 207-9136 | |
| (703) 207-9740 |
| Full Name | Ms Jacqueline Leigh Tyler |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2504 Patrick St, Vienna, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871600635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904005809 (Virginia) | Primary |
| Entity Name | Director Of Finance-county Of Fairfax Va |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154356244 PECOS PAC ID: 9739136847 Enrollment ID: O20210319001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jacqueline Leigh Tyler, LCSW 2516 N Dearing St, Alexandria, VA 22302-1807 Ph: (703) 820-7239 | Ms Jacqueline Leigh Tyler, LCSW 2504 Patrick St, Vienna, VA 22180-6844 Ph: (703) 207-9136 |
Brittany Lutz Estep, L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 131 Park St Ne, Suite 8a, Vienna, VA 22180 Phone: 571-215-1653 | |
Brian Sheaffer, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 Church St Nw Ste 205, Vienna, VA 22180 Phone: 571-261-7764 | |
Miss Sarah Roberts, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2110 Gallows Rd Ste D, Vienna, VA 22182 Phone: 703-592-4600 | |
Sandra L Moncrief-stuart, MA, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-4928 | |
Rose Marie Mcintrye, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Park St Ne, Vienna, VA 22180 Phone: 703-281-2657 | |
Sarah Hagen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 129 Park St Ne Ste 10a, Vienna, VA 22180 Phone: 703-401-8571 | |
Mr. James Robert Lippold, LCSW-0904012388 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 Beulah Road, Ne, Suite 200-b, Vienna, VA 22180 Phone: 703-255-7012 Fax: 703-255-6171 |