| Nicolette Staton Moon, LCSW | |
| 10299 Woodman Rd, Glen Allen, VA 23060-4419 | |
| (804) 727-8500 | |
| (804) 727-8580 | 
| Full Name | Nicolette Staton Moon | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 10299 Woodman Rd, Glen Allen, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346384658 | NPI | - | NPPES | 
| O89418 | Other | VA | OPTIMA | 
| 4945131 | Other | VA | VIRGINIA PREMIER | 
| 205825 | Other | VA | ANTHEM | 
| 263166-000 | Other | VA | MAGELLAN | 
| 2169372 | Other | VA | MAMSI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003308 (Virginia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicolette Staton Moon, LCSW 10299 Woodman Rd, Glen Allen, VA 23060-4419 Ph: (804) 727-8500 | Nicolette Staton Moon, LCSW 10299 Woodman Rd, Glen Allen, VA 23060-4419 Ph: (804) 727-8500 | 
| Lisa Bessette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-727-8500 Fax: 804-727-8580 | |
| Stacia Macklin,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5016 Broad Meadows Rd, Glen Allen, VA 23060 Phone: 804-836-2931 | |
| Sonya A. Donaldson-bates, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-727-8500 Fax: 804-727-8580 | |
| Ms. Carolyn Yvonne Arthur, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10299 Woodman Rd, Glen Allen, VA 23060 Phone: 804-727-8500 Fax: 804-727-8580 | |
| Suzanne M Christopher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10187 Brook Rd, Glen Allen, VA 23059 Phone: 804-266-7631 Fax: 804-264-6127 | |
| Wayne David Prebor Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5374 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 540-699-0226 | |
| Nicholas Tate Tomlinson, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Concourse Blvd, Glen Allen, VA 23059 Phone: 804-374-9484 |