| Stephen L Murphy, LCSW | |
|
350 Poplar Dr, Petersburg, VA 23805-9367 | |
| (804) 733-6874 | |
| (804) 518-1340 |
| Full Name | Stephen L Murphy |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 350 Poplar Dr, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053945345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4325C (Alabama) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904011454 (Virginia) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Murphy, LCSW 1131 Commerce St Apt 123, Petersburg, VA 23803-2906 Ph: (205) 400-7812 | Stephen L Murphy, LCSW 350 Poplar Dr, Petersburg, VA 23805-9367 Ph: (804) 733-6874 |
Mrs. Carla Felicia Jones, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5923 Church Rd, Petersburg, VA 23803 Phone: 804-721-6750 Fax: 804-957-6389 | |
Mrs. Morgan Honickel, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601 | |
Mrs. Susan Woodford Perez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26317 W Washington St, Petersburg, VA 23803 Phone: 804-921-2100 | |
John Salay, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 350 Poplar Dr, Petersburg, VA 23805 Phone: 804-733-6874 | |
Tonette S Robertson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 W Bank St, Petersburg, VA 23803 Phone: 804-862-8000 | |
Charles E. Hodges Jr., LCSW, CSOTP Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-868-0070 |