| Nellie Parrish, LCSW | |
| 190 Reservoir Rd, Victoria, VA 23974-2242 | |
| (434) 917-9022 | |
| Not Available | 
| Full Name | Nellie Parrish | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 190 Reservoir Rd, Victoria, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1356761753 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008584 (Virginia) | Primary | 
| Entity Name | Cmh Physician Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 | 
| Entity Name | Southside Behavioral Health | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nellie Parrish, LCSW 190 Reservoir Rd, Victoria, VA 23974-2242 Ph: (434) 917-9022 | Nellie Parrish, LCSW 190 Reservoir Rd, Victoria, VA 23974-2242 Ph: (434) 917-9022 | 
| Shannon Rakes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1685 K-v Road, Victoria, VA 23974 Phone: 434-696-2319 Fax: 434-696-2326 | |
| Dr. Scott O. Davis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1685 K-v Road, Victoria, VA 23974 Phone: 434-696-2319 Fax: 434-696-2326 |