| Child & Family Services Of Eastern Virginia, Inc | |
|
222 W 19th St Norfolk VA 23517-2218 | |
| (757) 622-7017 | |
| (757) 640-8402 |
| Full Name | Child & Family Services Of Eastern Virginia, Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 222 W 19th St, Norfolk, Virginia |
| Authorized Official Name and Position | Brenda Luverne Jones (BILLING SUPERVISOR) |
| Authorized Official Contact | 7576227017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child & Family Services Of Eastern Virginia, Inc 222 W 19th St Norfolk VA 23517-2218 Ph: (757) 622-7017 | Child & Family Services Of Eastern Virginia, Inc 222 W 19th St Norfolk VA 23517-2218 Ph: (757) 622-7017 |
| NPI Number | 1629158159 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 7618009333 |
|---|---|
| Medicare Enrollment ID | O20100715000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629158159 | NPI | - | NPPES |
| 1538364179 | Other | VA | MARY A BRANTLEY - PROVIDER |
| 1295888501 | Other | VA | KRISTIN HARDEE-POULIN - PROVIDER |
| 1689689234 | Other | VA | FREDRICK D WESTON - PROVIDER |
| 1285737205 | Other | VA | GLORIA M SAUNDERS - PROVIDER |
| 1417028291 | Other | VA | CONSTANTINA KOUZI |
| 1215917315 | Other | VA | JAMES ZELL - PROVIDER |
| 1033273560 | Other | VA | J. KELLIE EVANS - PROVIDER |
| 1194891598 | Other | VA | ANDREA LONG - PROVIDER |
| 1487764825 | Other | VA | DEBORAH LEECY - PROVIDER |
| 1487840641 | Other | VA | SHAWN WARE-AVANT - PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tanetta Hassell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962066258 PECOS PAC ID: 9133457617 Enrollment ID: I20190821003131 |
| Provider Name | Marina L Falvo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245508043 PECOS PAC ID: 3779918164 Enrollment ID: I20200113001260 |
| Provider Name | Ashlee A Collister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770101826 PECOS PAC ID: 5193105641 Enrollment ID: I20220630001840 |
| Provider Name | James Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477281277 PECOS PAC ID: 4183092729 Enrollment ID: I20221201002146 |
| Provider Name | Rebecca Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124643788 PECOS PAC ID: 1557721610 Enrollment ID: I20230720002384 |
| Provider Name | Catherine Calletto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528573565 PECOS PAC ID: 2668813403 Enrollment ID: I20240510003142 |
| Provider Name | Hunter Staylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366177800 PECOS PAC ID: 7113369851 Enrollment ID: I20240524003232 |
| Provider Name | Arielle Shipp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043828924 PECOS PAC ID: 4981146883 Enrollment ID: I20240606003263 |
| Provider Name | Heather Kelly Arnett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184197915 PECOS PAC ID: 8820433543 Enrollment ID: I20240830002922 |
| Provider Name | Shannon Trewartha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689995524 PECOS PAC ID: 0941740344 Enrollment ID: I20240912001069 |
| Provider Name | Angely Morales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316325434 PECOS PAC ID: 7012448608 Enrollment ID: I20241007003453 |
| Provider Name | Kirsten Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366189268 PECOS PAC ID: 8325570088 Enrollment ID: I20241018002157 |
| Provider Name | Amy Antonelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538754114 PECOS PAC ID: 3971037946 Enrollment ID: I20241113002516 |
| Provider Name | Alexis Ramirez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306667621 PECOS PAC ID: 7315472792 Enrollment ID: I20241121003001 |
| Provider Name | Ann Varatharaj |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053086918 PECOS PAC ID: 9032644471 Enrollment ID: I20241122000651 |
| Provider Name | Michkala Deforest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477352235 PECOS PAC ID: 8022536036 Enrollment ID: I20250514000777 |
| Provider Name | Juie Ann Bologna |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770392631 PECOS PAC ID: 3173033131 Enrollment ID: I20250609002372 |
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