| Mary Ann Sprouse, LCSW | |
|
8440 Old Keene Mill Rd, Springfield, VA 22152-2302 | |
| (709) 569-1300 | |
| Not Available |
| Full Name | Mary Ann Sprouse |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 27 Years |
| Location | 8440 Old Keene Mill Rd, Springfield, 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 |
|---|---|---|---|
| 1316182876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904007003 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | 3779495858 | 1964 |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ann Sprouse, LCSW 8440 Old Keene Mill Rd, Springfield, VA 22152-2302 Ph: (709) 569-1300 | Mary Ann Sprouse, LCSW 8440 Old Keene Mill Rd, Springfield, VA 22152-2302 Ph: (709) 569-1300 |
Lauren Mullinax, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8328 Traford Ln Ste C, Springfield, VA 22152 Phone: 571-414-9645 | |
Jose Silva, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 6563 Edsall Rd, Springfield, VA 22151 Phone: 703-354-0000 | |
Ms. Karen J Berube, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Forbes Place, Springfield, VA 22151 Phone: 703-321-2600 Fax: 703-321-2603 | |
Apryl Elizabeth Sydnor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8519 Tuttle Rd, Springfield, VA 22152 Phone: 703-451-8041 | |
Hawani Tessema, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6427 Franconia Rd, Springfield, VA 22150 Phone: 571-234-1851 | |
Dr. Karen Makar Jeannette, LPC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8508 Westover Ct, Springfield, VA 22152 Phone: 571-376-3452 | |
Rosalind G Rogers, PHD, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7312 Eggar Woods Ln, Springfield, VA 22153 Phone: 954-882-5392 |