| Tracy Sherrille Copeland Moore, LCSW | |
|
3119 Fox Chase Dr, Midlothian, VA 23112-4474 | |
| (804) 888-2813 | |
| Not Available |
| Full Name | Tracy Sherrille Copeland Moore |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 17 Years |
| Location | 3119 Fox Chase Dr, Midlothian, 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 |
|---|---|---|---|
| 1851080295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904015128 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| 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 |
|---|---|
| Tracy Sherrille Copeland Moore, LCSW 3119 Fox Chase Dr., Midlothian Va 23112, Midlothian, VA 23112-3119 Ph: (804) 888-2813 | Tracy Sherrille Copeland Moore, LCSW 3119 Fox Chase Dr, Midlothian, VA 23112-4474 Ph: (804) 888-2813 |
Lauren Dayle Holstein, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2820 Waterford Lake Dr Ste 100, Midlothian, VA 23112 Phone: 804-562-7117 Fax: 540-378-6044 | |
Megan Elizabeth Mastrofrancesco, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1713 Tremelo Trl, Midlothian, VA 23113 Phone: 571-428-3193 | |
Dena Maria Wentz, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13817 Village Mill Dr Ste R, Midlothian, VA 23114 Phone: 855-284-7483 Fax: 617-807-0958 | |
Kathleen S Levenston, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5001 W Village Green Dr Ste 205, Midlothian, VA 23112 Phone: 833-510-4357 | |
Jennifer Zito, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 600 Founders Bridge Blvd, Midlothian, VA 23113 Phone: 804-210-5448 | |
G. Tricia Baggett-phelps, M.S.W., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10128 Hull Street Rd, Midlothian, VA 23112 Phone: 804-276-5761 Fax: 804-745-3626 | |
Ms. Sandra Goolsby, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13301 Midlothian Tpke Ste D, Midlothian, VA 23113 Phone: 804-464-1928 |