| Tyler Adam Cepeda-laporte, LCSW | |
|
4309 Old Buckingham Rd, Powhatan, VA 23139-5731 | |
| (434) 390-8270 | |
| Not Available |
| Full Name | Tyler Adam Cepeda-laporte |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 4309 Old Buckingham Rd, Powhatan, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841077856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Entity Name | Myspectrum Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174029359 PECOS PAC ID: 5799027843 Enrollment ID: O20190422001369 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Adam Cepeda-laporte, LCSW 4309 Old Buckingham Rd, Powhatan, VA 23139-5731 Ph: (434) 390-8270 | Tyler Adam Cepeda-laporte, LCSW 4309 Old Buckingham Rd, Powhatan, VA 23139-5731 Ph: (434) 390-8270 |
Allison Middleton, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3612 Bolling Rd, Powhatan, VA 23139 Phone: 804-921-5270 | |
Alyssa Faith Shadbolt, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3910 Old Buckingham Rd, Powhatan, VA 23139 Phone: 804-464-8803 | |
Gwendolyn Ligh Bohn, MT, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1480 Oak Bridge Ct, Powhatan, VA 23139 Phone: 804-423-1389 Fax: 804-423-1393 | |
Mr. Stephen Siewers Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1480 Oakbridge Ct., Powhatan, VA 23139 Phone: 804-423-1389 Fax: 804-423-1393 | |
Ms. Carol Montgomery-jennings, MA LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2142 Plainview Center, Powhatan, VA 23139 Phone: 804-598-9105 Fax: 804-598-6379 | |
Lindsey M Price, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2164 Plainview Ctr, Powhatan, VA 23139 Phone: 804-743-0960 |