KENNETH L LABASKY (NPI# 1003803453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003803453 |
| Entity Type | Individual |
| Full Name | KENNETH L LABASKY |
| Credential | LCSW |
| Practice Address |
3300 Academy Ave Portsmouth VA 23703-3205 |
| Practice Telephone | 7574836404 |
| Practice Fax Number | 7574830737 |
| Mailing Telephone | 7574836404 |
| Mailing Fax Number | 7574830737 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904000814 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA | 080709 | 01 |
| VA | ANTHEM | 087978 | 01 |
| Street Address |
3300 ACADEMY AVE |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819234 | Velma A Bacak | Psychiatry & Neurology | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-08-24 |
| 1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
| 1598219214 | Angel Marie Williams-kent | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-08-10 |
| 1124473038 | Richardean Benjamin | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-04-28 |
| 1700208873 | Stacie Adrienne Wilson | Psychologist | 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 | 2014-01-09 |
| 1821421454 | Riverside Physician Services Inc | Psychologist | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2013-08-19 |
| 1568715613 | Melissa Gilbert Gomes | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2012-10-25 |
| 1558687954 | Tiffany Davis | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2010-04-12 |
| 1578728820 | Eileen P Pietila | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2008-07-26 |
| 1760412183 | Lana Tucker Williams | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702588 | Shery Lynne Harrell | Social Worker | 1109 Melvin Dr, Portsmouth, VA 23701-1338 | 2020-08-24 |
| 1437650413 | Daniel Ray Mathuews Jr. | Social Worker | 602 Chillicothe St Ste 111, Portsmouth, OH 45662-4093 | 2018-02-23 |
| 1033648175 | Mary Boucher | Social Worker | 1000 Market St Ste 104, Portsmouth, NH 03801-3358 | 2017-06-11 |
| 1265978456 | Lynn Piersall | Social Worker | 4416 Duke Dr, Portsmouth, VA 23703-4915 | 2017-01-11 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1609286665 | Mary Beth Bloser, Licsw | Social Worker | 20 Ladd St Ste 400, Portsmouth, NH 03801-4089 | 2014-04-30 |
| 1962754085 | Family Solutions, Inc | Social Worker | 1412 Mt Vernon Ave, Portsmouth, VA 23707-3510 | 2012-10-12 |
| 1912285982 | Danielle A Thibert | Social Worker | 101 Clock Tower Sq, Portsmouth, RI 02871-1396 | 2011-07-25 |
| 1417245374 | Jennifer Lh Gaudreau | Social Worker | 118 Maplewood Ave Bldg A2nd, Portsmouth, NH 03801-3787 | 2011-07-13 |
| 1730490335 | Julia Ovalle | Social Worker | 7 Greenleaf Woods Dr, Unit 202, Portsmouth, NH 03801-5444 | 2010-06-29 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.