| Teri Ann Bistarkey, LCSW | |
|
314 E Atlantic St, South Hill, VA 23970-2006 | |
| (434) 447-8381 | |
| (434) 447-8381 |
| Full Name | Teri Ann Bistarkey |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 314 E Atlantic St, South Hill, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629047865 | NPI | - | NPPES |
| 1912197559 | Medicaid | VA | |
| 1912197559 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904004677 (Virginia) | Primary |
| Entity Name | Community Living, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912197559 PECOS PAC ID: 2860577731 Enrollment ID: O20230210001520 |
| Mailing Address | Practice Location Address |
|---|---|
| Teri Ann Bistarkey, LCSW Po Box 876, Bracey, VA 23919-0876 Ph: (434) 447-8381 | Teri Ann Bistarkey, LCSW 314 E Atlantic St, South Hill, VA 23970-2006 Ph: (434) 447-8381 |
Mitzi Seymour Hendrick, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 514 E Atlantic St, South Hill, VA 23970 Phone: 434-447-2595 Fax: 434-447-2556 | |
Mrs. Tessie Smith Sadler, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 306 E Atlantic St, South Hill, VA 23970 Phone: 434-774-7559 Fax: 434-774-7559 |