| Stephanie Whited, Lcsw Llc | |
|
6580 Valley Center Dr Fairlawn VA 24141-5691 | |
| (540) 577-5676 | |
| Not Available |
| Full Name | Stephanie Whited, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 6580 Valley Center Dr, Fairlawn, Virginia |
| Authorized Official Name and Position | Stephanie Whited (PROVIDER) |
| Authorized Official Contact | 5405775676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Whited, Lcsw Llc 1120 Juniper Dr Christiansburg VA 24073-5810 Ph: (540) 577-5675 | Stephanie Whited, Lcsw Llc 6580 Valley Center Dr Fairlawn VA 24141-5691 Ph: (540) 577-5676 |
| NPI Number | 1780145433 |
|---|---|
| Provider Enumeration Date | 03/26/2019 |
| Last Update Date | 04/01/2026 |
| Certification Date | 04/01/2026 |
| Medicare PECOS PAC ID | 9537402664 |
|---|---|
| Medicare Enrollment ID | O20190513002431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780145433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie Whited |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215478607 PECOS PAC ID: 1254603012 Enrollment ID: I20170815001333 |
Virginia Highland Health Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7457 Lee Hwy, Fairlawn, VA 24141 Phone: 540-731-1939 Fax: 540-731-0084 | |
Charlottesville League Of Therapists, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7350 Peppers Ferry Blvd, Fairlawn, VA 24141 Phone: 540-633-3816 Fax: 540-633-3819 |