VIRGINIA MEDICAL & THERAPEUTIC SERVICES (NPI# 1184138448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184138448 |
| Entity Type | Organization |
| Organization Name | VIRGINIA MEDICAL & THERAPEUTIC SERVICES |
| Practice Address |
13540 E Boundary Rd Midlothian VA 23112 |
| Mailing Address |
13540 E Boundary Rd Midlothian VA 23112-3943 |
| Practice Telephone | 8045506733 |
| Mailing Telephone | 8045506733 |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | KEVIN EALY (CHIEF MANAGEMENT OFFICER) |
| Authorized Official Telephone | 8045506733 |
| Authorized Official Credential | RBT, M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
VA | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
0701006356 | VA | Behavioral Health & Social Service Providers |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 163W00000X | Registered Nurse | VA | Nursing Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 172V00000X | Community Health Worker | VA | Other Service Providers | |
| N | 183700000X | Pharmacy Technician | VA | Pharmacy Service Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care | |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904009394 | VA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | VIRGINIA MEDICAL & THERAPEUTIC SERVICES LLC | 3020 Heather Ridge Drive, Henrico, Virginia 23231 |
| Street Address |
13540 E BOUNDARY RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108702 | Nikeka Shalise Barfield | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112-3943 | 2019-01-30 |
| 1538631932 | Crystal Lashawn Ealy | Nurse Practitioner | 13540 E Boundary Rd, Midlothian, VA 23112-3943 | 2018-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| 1518482587 | White Glove Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 12202 Mckenna Court, Midlothian, VA 23112 | 2017-08-10 |
| Find all providers in zip 23112 | ||||
| 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 |
|---|---|---|---|---|
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1932700382 | Caitlin Duggan | Social Worker | 5712 Oak Knoll Rd, Midlothian, VA 23112-2400 | 2020-11-03 |
| 1881202125 | Derwin Lydell Hayes | Social Worker | 12117 Mansfield Ter, Midlothian, VA 23114-1288 | 2020-07-22 |
| 1649893611 | Jamesa Robinson | Social Worker | 1017 W Sierra Vista Ct, Midlothian, TX 76065-3842 | 2020-05-25 |
| 1568085033 | Kyle Jason Mitchell | Social Worker | 4025 E Us 287, Midlothian, TX 76065 | 2020-05-19 |
| 1518593524 | Ann L Nost | Social Worker | 1525 Huguenot Rd, Midlothian, VA 23113-2438 | 2020-03-21 |
| 1568096857 | Ajm Clinical Therapy & Consulting, Pllc | Social Worker | 2750 Clear Lake Dr, Midlothian, TX 76065-6251 | 2020-02-26 |
| 1386103711 | Karen Stevenson Landrum | Social Worker | 14051 St Francis Blvd Ste 2200, Midlothian, VA 23114-3203 | 2019-03-15 |
| 1093240608 | Sf Medical Consulting, LLC | Social Worker | 2212 Webster Crescent Ln, Midlothian, VA 23112-1747 | 2017-04-21 |
| 1689122012 | Momentum Counseling and Wellness LLC | Social Worker | 431 Walton Park Road, Midlothian, VA 23114 | 2016-09-14 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
Please comment or provide details below to improve the information on VIRGINIA MEDICAL & THERAPEUTIC SERVICES.
| 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.