| Mr Charles Smith, LPC | |
|
125 S Cameron St, Winchester, VA 22601-4732 | |
| (540) 722-0750 | |
| Not Available |
| Full Name | Mr Charles Smith |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 125 S Cameron St, Winchester, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174274401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0701011137 (Virginia) | Primary |
| Entity Name | Psychotherapy Associates Of Winchester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588656672 PECOS PAC ID: 0840468864 Enrollment ID: O20110719000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Smith, LPC 125 S Cameron St, Winchester, VA 22601-4732 Ph: (540) 722-0750 | Mr Charles Smith, LPC 125 S Cameron St, Winchester, VA 22601-4732 Ph: (540) 722-0750 |
Jennifer Cassidy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Bellview Ave, Winchester, VA 22601 Phone: 540-542-0200 Fax: 540-542-0318 | |
Arkeem Talley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 540-313-4196 | |
Craig Lien, LPC, CCTP, CTMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 Westside Station Dr, Winchester, VA 22601 Phone: 540-594-4357 | |
Julia Showers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 800-805-6989 | |
Alexandra Mackay-smith Keirstead, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 36 Ricketts Dr, Winchester, VA 22601 Phone: 540-535-1112 | |
Ms. Ellen Marie Capone, L.C.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 S Braddock St, Winchester, VA 22601 Phone: 540-678-0807 Fax: 540-678-0807 | |
Arielle Jordan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Pegasus Ct, Winchester, VA 22602 Phone: 540-313-4196 |