| Northwestern Community Services Board | |
|
209 W Criser Rd Ste 100 Front Royal VA 22630-2360 | |
| (540) 636-2931 | |
| (540) 636-2933 |
| Full Name | Northwestern Community Services Board |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 209 W Criser Rd, Front Royal, Virginia |
| Authorized Official Name and Position | Ellen Degraff Harrison (CEO) |
| Authorized Official Contact | 5404341941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwestern Community Services Board 209 W Criser Rd Ste 300 Front Royal VA 22630-2360 Ph: (540) 636-4250 | Northwestern Community Services Board 209 W Criser Rd Ste 100 Front Royal VA 22630-2360 Ph: (540) 636-2931 |
| NPI Number | 1215930573 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 02/19/2025 |
| Certification Date | 02/19/2025 |
| Medicare PECOS PAC ID | 2769371251 |
|---|---|
| Medicare Enrollment ID | O20040312000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215930573 | NPI | - | NPPES |
| 1215930573 | Medicaid | VA |
| Provider Name | Robin Hockman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447267174 PECOS PAC ID: 4082609938 Enrollment ID: I20040419001360 |
| Provider Name | Louis Duchin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457309023 PECOS PAC ID: 7618965898 Enrollment ID: I20040505000951 |
| Provider Name | Lakuma R Mogili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265491310 PECOS PAC ID: 1951363894 Enrollment ID: I20041102000788 |
| Provider Name | Elizabeth C Trefzger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629060116 PECOS PAC ID: 4981702974 Enrollment ID: I20070614000689 |
| Provider Name | Don D Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922090455 PECOS PAC ID: 8729271564 Enrollment ID: I20101025000736 |
| Provider Name | Glenn Kellis Mcclaugherty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619995669 PECOS PAC ID: 2769648088 Enrollment ID: I20120731000536 |
| Provider Name | Aaron M Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487984837 PECOS PAC ID: 6103073382 Enrollment ID: I20120822000675 |
| Provider Name | Jagadamba Pandit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154582369 PECOS PAC ID: 6800030222 Enrollment ID: I20140117001603 |
| Provider Name | Michele M Moore |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750685558 PECOS PAC ID: 6608171665 Enrollment ID: I20160229002647 |
| Provider Name | Ashley Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831716984 PECOS PAC ID: 1153748728 Enrollment ID: I20200827000847 |
| Provider Name | Jill K Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255002606 PECOS PAC ID: 9931593332 Enrollment ID: I20220301001468 |
| Provider Name | Sherry Mae Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336751734 PECOS PAC ID: 4981014768 Enrollment ID: I20230213000547 |
| Provider Name | Megan Ferry Click |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700651262 PECOS PAC ID: 7517316748 Enrollment ID: I20231213000066 |
| Provider Name | Danielle Renee Dietz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265057988 PECOS PAC ID: 7719336676 Enrollment ID: I20231218002542 |
| Provider Name | Timothy D. May |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376544569 PECOS PAC ID: 8820447790 Enrollment ID: I20231218002882 |
| Provider Name | Denise Marie Acker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609524578 PECOS PAC ID: 6901256874 Enrollment ID: I20231219002873 |
| Provider Name | Deborah Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700158664 PECOS PAC ID: 6507128758 Enrollment ID: I20231220000253 |
| Provider Name | Brittani M Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578331120 PECOS PAC ID: 0840641874 Enrollment ID: I20240103004720 |
| Provider Name | Andrea J Bieber |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558335232 PECOS PAC ID: 8921237553 Enrollment ID: I20240314001796 |
| Provider Name | Suzanne Rea Nieves |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114340338 PECOS PAC ID: 9133569585 Enrollment ID: I20240501004188 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609099019 PECOS PAC ID: 9739622721 Enrollment ID: I20240618004129 |
| Provider Name | Joshua Riley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891081345 PECOS PAC ID: 1557534682 Enrollment ID: I20240703003790 |
| Provider Name | Danette Gyovai Kesner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356184519 PECOS PAC ID: 4082152061 Enrollment ID: I20240821004104 |
| Provider Name | Hannah Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770327827 PECOS PAC ID: 6204368012 Enrollment ID: I20241017004197 |
| Provider Name | Adrienne Friel Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881417475 PECOS PAC ID: 4183154636 Enrollment ID: I20250212003283 |
| Provider Name | Jessica Coulson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508480880 PECOS PAC ID: 4486004926 Enrollment ID: I20250219002211 |
| Provider Name | Cecilia Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154816379 PECOS PAC ID: 1153845680 Enrollment ID: I20250407001686 |
Leading, Elevating, Valuing, Everyone, Launching, Success, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 N Royal Ave, Front Royal, VA 22630 Phone: 631-805-3257 | |
Michael Davis Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 316 Warren Ave, Front Royal, VA 22630 Phone: 571-358-9245 | |
Warren Memorial Hospital, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 351 Valley Health Way, Front Royal, VA 22630 Phone: 540-636-0300 | |
Crown Behavior Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Chester St, Front Royal, VA 22630 Phone: 540-717-3591 Fax: 855-258-4022 | |
Quiet Mind Psychotherapeutic Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Water St, Front Royal, VA 22630 Phone: 540-252-4997 Fax: 540-551-3294 | |
Abundant Light Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Harris Dr, Front Royal, VA 22630 Phone: 202-292-9191 |