| Ms Marianne Redmond Lopez, LCSW | |
|
12200 Amos Ln, Fredericksburg, VA 22407-7107 | |
| (703) 862-5679 | |
| Not Available |
| Full Name | Ms Marianne Redmond Lopez |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 12200 Amos Ln, Fredericksburg, 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 |
|---|---|---|---|
| 1700981412 | NPI | - | NPPES |
| 3878 | Other | CAREFIRST BC | |
| 212387 | Other | VA | SOUTHEAST |
| 512389 | Other | NCPPO | |
| 087841 | Other | SENTARA | |
| 441745 | Other | ANTHEM BC | |
| 468354 | Other | VALUE OPTIONS | |
| 350821000 | Other | MAGELLAN | |
| 730S414 | Other | AETNA | |
| 8937621 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW03932 (Rhode Island) | Secondary |
| 104100000X | Social Worker | 0904004604 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifebulb Llc | 2062881162 | 66 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210331001144 |
| Entity Name | Focused Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922271634 PECOS PAC ID: 6608043849 Enrollment ID: O20210913000029 |
| Entity Name | Lifebulb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20221213000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Marianne Redmond Lopez, LCSW 43 Town And Country Dr, Suite #143, Fredericksburg, VA 22405-8729 Ph: (703) 862-5679 | Ms Marianne Redmond Lopez, LCSW 12200 Amos Ln, Fredericksburg, VA 22407-7107 Ph: (703) 862-5679 |
Mrs. Terrila Ann Thompson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10700 Ballantraye Dr, Suite 104, Fredericksburg, VA 22407 Phone: 540-841-4065 Fax: 540-301-0500 | |
Katherine Dervin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12000 Kennedy Ln, Suite 100, Fredericksburg, VA 22407 Phone: 540-548-2063 Fax: 540-548-2962 | |
Ms. Beth L Collins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 639 Kings Hwy, Fredericksburg, VA 22405 Phone: 540-850-1994 | |
Linda Mixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2217 Princess Anne St Ste 105-6, Fredericksburg, VA 22401 Phone: 540-809-8970 Fax: 540-373-2922 | |
Joyce Catherine Corbin Moya, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 19003 Main Street, Fredericksburg, VA 22408 Phone: 540-684-8962 | |
Traci Lee Demerchant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10712 Ballantraye Dr, Suite 304, Fredericksburg, VA 22407 Phone: 540-242-8970 Fax: 540-710-9299 | |
Michelle Patton Swisher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8020 River Stone Dr, Fredericksburg, VA 22407 Phone: 540-834-2500 Fax: 540-834-2552 |