| Sagework Solutions Llc | |
|
680 Campbell Rd Keswick VA 22947-2113 | |
| (434) 423-4303 | |
| (434) 302-9676 |
| Full Name | Sagework Solutions Llc |
|---|---|
| Speciality | Social Worker |
| Location | 680 Campbell Rd, Keswick, Virginia |
| Authorized Official Name and Position | Shannon Stewart Enold (OWNER) |
| Authorized Official Contact | 7033362285 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sagework Solutions Llc 680 Campbell Rd Keswick VA 22947-2113 Ph: (703) 336-2285 | Sagework Solutions Llc 680 Campbell Rd Keswick VA 22947-2113 Ph: (434) 423-4303 |
| NPI Number | 1962221234 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Medicare PECOS PAC ID | 0446786370 |
|---|---|
| Medicare Enrollment ID | O20241216000739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962221234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shannon Enold |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831249614 PECOS PAC ID: 1254697873 Enrollment ID: I20241216000880 |
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