Provider Demographics
NPI:1831360122
Name:KAIL, JEFFREY GRAHAM (LCSW)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:GRAHAM
Last Name:KAIL
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-397-6344
Mailing Address - Fax:757-606-1185
Practice Address - Street 1:3640 HIGH ST STE 3B
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3213
Practice Address - Country:US
Practice Address - Phone:757-397-6344
Practice Address - Fax:757-606-1185
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040067111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1831360122OtherMAGELLAN HEALTH
VA1831360122OtherVIRGINIA HEALTH NETWORK
VA1831360122OtherHUMANA
VA1831360122OtherANTHEM BEHAVIORAL HEALTH
VA1831360122Medicaid
VA1831360122OtherOPTIMA BEHAVIORAL HEALTH
VA1831360122OtherMULTIPLAN
VA1831360122OtherVIRGINIA PREMIER HEALTH PLAN
VA1831360122OtherUSA MANAGED CARE
VA1831360122OtherCIGNA BEHAVIORAL HEALTH
VA1831360122OtherCORVEL
VA1831360122OtherUNITED BEHAVIORAL HEALTH
VA1831360122OtherMANAGED HEALTH NETWORK
VA1834360122OtherAETNA BEHAVIORAL HEALTH
VA1831360122OtherANTHEM BEHAVIORAL HEALTH