| Susan Myers, Lcsw Inc | |
|
338 Coeburn Ave Sw Norton VA 24273-2606 | |
| (276) 275-6789 | |
| (276) 679-2174 |
| Full Name | Susan Myers, Lcsw Inc |
|---|---|
| Speciality | Social Worker |
| Location | 338 Coeburn Ave Sw, Norton, Virginia |
| Authorized Official Name and Position | Susan G Myers (OWNER) |
| Authorized Official Contact | 2762756789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Myers, Lcsw Inc 338 Coeburn Ave Sw Norton VA 24273-2606 Ph: (276) 275-6789 | Susan Myers, Lcsw Inc 338 Coeburn Ave Sw Norton VA 24273-2606 Ph: (276) 275-6789 |
| NPI Number | 1619383072 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Medicare PECOS PAC ID | 7810116001 |
|---|---|
| Medicare Enrollment ID | O20140922000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619383072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904001549 (Virginia) | Primary |
| Provider Name | Susan G Myers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053314799 PECOS PAC ID: 2961452271 Enrollment ID: I20050125000494 |
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