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Individual

MS. BEVERLY L NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW BCD

Contact information

Practice address
8010 RIDGE RD, SUITE D, RICHMOND, VA 23229
(804) 288-7242
(804) 288-7243
Mailing address
8010 RIDGE RD, SUITE D, RICHMOND, VA 23229
(804) 288-7242
(804) 288-7243

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000709
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080282
SENTARA
01
127542
GREEN SPRING
01
132042
MANAGED HEALTH NETWORK
01
167945
SOUTHERN HEALTH
01
179351
COMPSYCH
01
230847
TRIGON
01
32329
MAMSI
01
5781127
AETNA
01
6216760
UNITED BEHAVIORAL HEALTH
01
6280001
UNITED BEHAVIORAL HEALTH
01
692862
FIRST HEALTH
05
8906220
VA
01
NG521
EMPIRE BCBS
Enumeration date
08/29/2006
Last updated
07/08/2007
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