Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce - Medicare Mental Health Clinic in Newport News, VA

Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce is a medicare enrolled mental health clinic (Social Worker - Clinical) in Newport News, Virginia. The current practice location for Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce is 703 Thimble Shoals Blvd, A3, Newport News, Virginia. For appointments, you can reach them via phone at (757) 873-3401. The mailing address for Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce is 203 Woodburne Ln, Newport News, Virginia and phone number is (757) 869-2361.

Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce is licensed to practice in Virginia (license number 0904003048). The clinic also participates in the medicare program and its NPI number is 1033138227. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 873-3401.

Contact Information

Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce
703 Thimble Shoals Blvd
A3
Newport News
VA 23606-2576
(757) 873-3401
(757) 223-1165

Mental Health Clinic Profile

Full NameSusan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce
SpecialitySocial Worker
Location703 Thimble Shoals Blvd, Newport News, Virginia
Authorized Official Name and PositionSusan C Nicholson (OWNER, PRESIDENT)
Authorized Official Contact7578692361
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce
203 Woodburne Ln
Newport News
VA 23602-8363

Ph: (757) 869-2361
Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce
703 Thimble Shoals Blvd
A3
Newport News
VA 23606-2576

Ph: (757) 873-3401

NPI Details:

NPI Number1033138227
Provider Enumeration Date07/19/2006
Last Update Date06/25/2008

Medicare PECOS Information:

Medicare PECOS PAC ID7113914060
Medicare Enrollment IDO20040430000592

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Medical Identifiers

Medical identifiers for Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033138227NPI-NPPES
228979000OtherVAMAGELLAN
567827OtherVAMAMSI
5774587OtherVAAETNA
1033138227MedicaidVA
034810OtherVAVALUE OPTIONS
118556OtherVAANTHEM
118556OtherVAHEALTHKEEPERS
081419OtherVASENTARA
2130368OtherCIGNA
413584OtherVAMHN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 0904003048 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Susan C Nicholson Phd, Lcsw Dba Thimble Shoals Counseling & Therapy Ce acts as a billing entity for following providers:
Provider NameSusan Cummings Nicholson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023232626
PECOS PAC ID: 3173510021
Enrollment ID: I20040430001112

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Provider NameBaljit Singh Gill
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1356303366
PECOS PAC ID: 7810097896
Enrollment ID: I20070703000675

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