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Tammy K. Becoat-Eclou, LCSW

Individual provider Active NPI Clinical Social Worker · Chester, VA

NPI 1114633799 · NPPES record last updated Jan 26, 2023

Key facts

NPI
1114633799
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904011361 (VA)
Practice address
3700 Festival Park PLZ
Chester, VA 23831-4415
Phone
(804) 314-1187
Fax
(804) 562-5135
NPI assigned
Jan 26, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0904011361VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Services, LLC Past
since Nov 15, 2020		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904011361 VA Yes

Addresses

Primary practice location

3700 Festival Park PLZ
Chester, VA 23831-4415

Mailing address

206 Bulkhead PL
Williamsburg, VA 23188-5777
Phone (804) 338-1297

Other practice location 1

206 Bulkhead Pl
Williamsburg, VA 23188-5777
Phone (804) 338-1297

Other practice location 2

2 Eaton St Ste 1103
Hampton, VA 23669-4054
Phone (757) 838-1894

Other providers in Chester, VA

All providers in Chester, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.