| Hipps Family Services Llc. | |
|
5215 Colley Ave Ste. 138 Norfolk VA 23508-2172 | |
| (757) 389-1890 | |
| Not Available |
| Full Name | Hipps Family Services Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 5215 Colley Ave, Norfolk, Virginia |
| Authorized Official Name and Position | Cinsyeka Grasony (OFFICE MANAGER) |
| Authorized Official Contact | 8045186469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hipps Family Services Llc. 5215 Colley Ave Ste. 138 Norfolk VA 23508-2172 Ph: (757) 389-1890 | Hipps Family Services Llc. 5215 Colley Ave Ste. 138 Norfolk VA 23508-2172 Ph: (757) 389-1890 |
| NPI Number | 1063866655 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Medicare PECOS PAC ID | 6800206590 |
|---|---|
| Medicare Enrollment ID | O20201109002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063866655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904006563 (Virginia) | Primary |
| Provider Name | Quanda M Dulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952508509 PECOS PAC ID: 2961812656 Enrollment ID: I20201109002213 |
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