| Ms Janice V Atwell, LCSW | |
|
9403 Pocohantas Trail, Providence Forge, VA 23140 | |
| (804) 966-5959 | |
| (804) 966-5694 |
| Full Name | Ms Janice V Atwell |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9403 Pocohantas Trail, Providence Forge, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366587396 | NPI | - | NPPES |
| 081159 | Other | VA | SENTARA |
| 082997 | Other | VA | SENTARA |
| 4945131 | Other | VA | VIRGINIA PREMIER |
| 7123403 | Other | VA | MAMSI |
| 216958 | Other | VA | ANTHEM |
| 263250-000 | Other | VA | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003596 (Virginia) | Primary |
| Entity Name | Henrico Area Mental Heatlh And Developmental Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023119773 PECOS PAC ID: 8022004811 Enrollment ID: O20040426000770 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Janice V Atwell, LCSW 10299 Woodman Rd, Glen Allen, VA 23060-4419 Ph: (804) 727-8500 | Ms Janice V Atwell, LCSW 9403 Pocohantas Trail, Providence Forge, VA 23140 Ph: (804) 966-5959 |
Mr. Kent Paul Radwani, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocohontas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 | |
Jessica A Pugh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 Pocahontas Trl # A, Providence Forge, VA 23140 Phone: 804-727-8970 | |
Andrea Michelle Johnson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9403 Pocohantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Steven David, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3530 N Courthouse Rd, Providence Forge, VA 23140 Phone: 804-409-7525 Fax: 804-315-9380 | |
Ms. Wendy Dickerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9403 A Pocahantas Trail, Providence Forge, VA 23140 Phone: 804-966-5959 Fax: 804-966-5694 | |
Mr. Keith Oso Engel, LCSW, BCD Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3530 N Courthouse Rd, Providence Forge, VA 23140 Phone: 804-409-7525 Fax: 804-315-9380 |