Individual ProviderLouis Shepherd SeylerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address703 Thimble Shoals Blvd., Suite A-3, Newport News, VA 23606(757) 873-3401PECOS EnrollmentBased on the most recent information from CMS, provider Louis Shepherd Seyler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669488409Provider TypeIndividualFull NameSeyler, Louis ShepherdTitleMr.CredentialL.C.S.W.GenderMaleSole ProprietorYesEnumeration Date8/1/2006Last Updated2/4/2009Contact InformationPractice LocationPractice Address703 Thimble Shoals Blvd., Suite A-3, Newport News, VA 23606Phone(757) 873-3401Fax(757) 223-1165Mailing LocationMailing Address703 Thimble Shoals Blvd., Suite A-3, Newport News, VA 23606Phone(757) 873-3401Fax(757) 223-1165Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904000250VirginiaProvider IdentifiersIDDescriptionIssuerID092756DescriptionOtherIssuerBCBSVirginiaID541493432DescriptionOtherIssuerWORK COMPVirginiaID082343DescriptionOtherIssuerSENTARAVirginiaIDCHAMPUSDescriptionOtherIssuer541493432VirginiaID127099000DescriptionOtherIssuerMAGELLAN BEHAVORALVirginiaID541493432DescriptionOtherIssuerAETNAVirginiaID541493432DescriptionOtherIssuerVHNVirginiaID541493432DescriptionOtherIssuerCOMMERICALVirginiaID541493432DescriptionOtherIssuerCIGNAVirginiaID177152DescriptionOtherIssuerMANAGED HEALTHVirginiaID008909172DescriptionMedicaidIssuerUnlistedVirginiaID092756DescriptionOtherIssuerBCBS FEPVirginiaID541493432DescriptionOtherIssuerMAMSIVirginiaID541493432DescriptionOtherIssuerDEPT OF REHABVirginiaID541493432DescriptionOtherIssuerBCBSNorth Dakota