| Rebecca Wolfe Keller, LCSW | |
|
576 Jefferson Ave, Fort Eustis, VA 23604-1373 | |
| (757) 314-7500 | |
| (757) 314-7854 |
| Full Name | Rebecca Wolfe Keller |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 576 Jefferson Ave, Fort Eustis, 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 |
|---|---|---|---|
| 1437174067 | NPI | - | NPPES |
| 192000 | Other | VA | BC |
| 010259282 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904003037 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Associates Of Tidewater | 4981688744 | 8 |
| Entity Name | Clinical Associates Of Tidewater |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447341615 PECOS PAC ID: 4981688744 Enrollment ID: O20040617001131 |
| Entity Name | Norfolk Psychiactric Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922198100 PECOS PAC ID: 7618907551 Enrollment ID: O20050819000430 |
| Entity Name | In Harmony Wellness Ihw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477047546 PECOS PAC ID: 1355692005 Enrollment ID: O20180919004095 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Wolfe Keller, LCSW 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (757) 314-7500 | Rebecca Wolfe Keller, LCSW 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (757) 314-7500 |
Cindy Blacklidge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1177 Pershing Ave, Fort Eustis, VA 23604 Phone: 573-587-6001 | |
Danielle Parker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7522 | |
Michelle Chapman-bridges, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604 Phone: 757-314-7502 | |
Adriana Ramos, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-2178 | |
Lesli Brook Hughes, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7849 | |
Mr. Louis Heyward, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Sternberg Avenue, Building 515, Fort Eustis, VA 23604 Phone: 757-314-7910 Fax: 757-314-7576 | |
Jenny Harmon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7557 |