Mr Carlson Mccoy Pendleton I, LCSW - Counselor in Hampton, VA

Mr Carlson Mccoy Pendleton I, LCSW is a Counselor - Mental Health based in Hampton, Virginia. Mr Carlson Mccoy Pendleton I is licensed to practice in Virginia (license number 0904001601) and his current practice location is 100 Emancipation Dr, Hampton, Virginia. He can be reached at his office (for appointments etc.) via phone at (757) 722-9961.

NPI number for Mr Carlson Mccoy Pendleton I is 1053375899 and his current mailing address is 122 Taylor Ave E, Hampton, Virginia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053375899.

Contact Information

Mr Carlson Mccoy Pendleton I, LCSW
100 Emancipation Dr,
Hampton, VA 23667-0001
(757) 722-9961
Not Available

Healthcare Provider's Profile

Full NameMr Carlson Mccoy Pendleton I
GenderMale
SpecialityCounselor - Mental Health
Location100 Emancipation Dr, Hampton, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053375899
  • Provider Enumeration Date: 04/17/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Carlson Mccoy Pendleton I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053375899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 0904001601 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Carlson Mccoy Pendleton I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Carlson Mccoy Pendleton I, LCSW
122 Taylor Ave E,
Hampton, VA 23663-1614

Ph: (757) 722-6900
Mr Carlson Mccoy Pendleton I, LCSW
100 Emancipation Dr,
Hampton, VA 23667-0001

Ph: (757) 722-9961

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› Verified 2 days ago


Counselor in Hampton, VA

Ms. Rhyan L Davis,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 102 Corwin Cir, Hampton, VA 23666
Phone: 757-418-2226    
Meghan Stringer, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 19 W Kelly Ave, Hampton, VA 23663
Phone: 313-443-7477    
Candice S Jenkins, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 300 Medical Dr, Hampton, VA 23666
Phone: 757-788-0092    Fax: 757-788-0969
Letitia N Laurien, LCSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2204 Executive Dr, Suite A, Hampton, VA 23666
Phone: 757-644-3989    Fax: 866-813-7798
Anthony Joseph Reese, REGISTERED NURSE
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 275 W Queen St, Hampton, VA 23669
Phone: 757-374-8591    
Chasity Yvette Chambliss, THERAPIST
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 100 Emancipation Dr, Hampton, VA 23667
Phone: 757-772-9961    
Lena Baker-scott, LCSW
Counselor
Medicare: Medicare Enrolled
Practice Location: 15 Research Dr, Hampton, VA 23666
Phone: 757-570-5312    

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