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Virginia Davidov

Social Worker

Behavioral Health & Social Service Providers

4700 Wissahickon Ave, Philadelphia, PA 19144-4248

PECOS Enrollment

Based on the most recent information from CMS, provider Virginia Davidov is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487860110
Provider Type
Individual
Full Name
Davidov, Virginia
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/16/2007
Last Updated
7/8/2007

Contact Information

Practice Location

4700 Wissahickon Ave, Philadelphia, PA 19144-4248

(215) 951-0300

Unlisted Fax

Mailing Location

1311 Crosby Dr, Ft Washington, PA 19034-1711

(215) 951-0300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW012633 Pennsylvania

Virginia Davidov

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sprinkle, Robert A

Mayson, Trapeta B

Hostetter, Amy L

Holloway, Ebony L

Meyer, Kimberly Ann

Wellness Support Counseling, Llc

Masciarelli, Christine

Charmoy, Dana Lynn

Macgregor, Laura

Somsanith, Elizabeth