Ms Theodora Renae Vance, LCSW is a 
Social Worker - Clinical based in Afton, Virginia. Ms Theodora Renae Vance is licensed to practice in Virginia (license number 0904009115) and her current practice location is 
51 Da Boyz Pl, Afton, Virginia. She can be reached at her office (for appointments etc.) via phone at 
(434) 466-8700.
NPI number for Ms Theodora Renae Vance is 1053063370 and her current mailing address is 51 Da Boyz Pl, Afton, Virginia. She 
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053063370.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Ms Theodora Renae Vance | 
|---|
| Gender | Female | 
|---|
| Speciality | Social Worker - Clinical | 
|---|
| Location | 51 Da Boyz Pl, Afton, Virginia | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1053063370
- Provider Enumeration Date: 01/19/2022
- Last Update Date: 01/19/2022
 
		 
		 
Medical Identifiers
		Medical identifiers for Ms Theodora Renae Vance such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1053063370 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 1041C0700X | Social Worker - Clinical | 0904009115 (Virginia) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Theodora Renae Vance is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Ms Theodora Renae Vance, LCSW 51 Da Boyz Pl,
 Afton, VA 22920-3063
 Ph: (434) 466-8700
 | Ms Theodora Renae Vance, LCSW 51 Da Boyz Pl,
 Afton, VA 22920-3063
 Ph: (434) 466-8700
 | 
		
		 
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