| Vanessa Short, LICSW | |
|
725 N Pike St, Grafton, WV 26354-1270 | |
| (304) 265-4909 | |
| (304) 265-4915 |
| Full Name | Vanessa Short |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 725 N Pike St, Grafton, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578176228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00945730 (West Virginia) | Primary |
| Entity Name | Preston Taylor Community Health Centers, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1700819471 PECOS PAC ID: 3072406438 Enrollment ID: O20040209000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Short, LICSW 25 W Bluemont St, Grafton, WV 26354-1242 Ph: (304) 265-0312 | Vanessa Short, LICSW 725 N Pike St, Grafton, WV 26354-1270 Ph: (304) 265-4909 |
Mr. Dustin Jay Lawrence Baldwin, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Grafton, WV 26354 Phone: 304-265-0400 | |
Brandy Jo Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 West Main Street, Grafton, WV 26354 Phone: 304-265-1288 Fax: 304-265-6558 | |
Cynthia Louise Harper, MSW, LGSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 725 N Pike St, Grafton, WV 26354 Phone: 304-265-4909 Fax: 304-265-4915 |