MEDICARE: MRS. BRITT J COWART LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904004952	VA

General Provider Information

NPI Number	:	1437483922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITT J COWART LCSW

Provider Business Mailing Address
First Line	:	PO BOX 70296
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23255-0296
Country	:	US
Telephone Number	:	804-272-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6767 FOREST HILL AVE
Second Line	:	SUITE 307
City	:	RICHMOND
State	:	VA
Zip	:	23225-1856
Country	:	US
Telephone Number	:	804-272-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2009
Last Update Date	:	09/30/2009

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