MRS. FONDA ALTHEA LYLES (NPI# 1194254821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194254821 |
| Entity Type | Individual |
| Full Name | MRS. FONDA ALTHEA LYLES |
| Credential | LCSW |
| Practice Address |
1520 Breezeport Way Ste 400 Suffolk VA 23435-3754 |
| Mailing Address |
4400 Bruce Farm Dr Suffolk VA 23435-1255 |
| Practice Telephone | 7575372919 |
| Mailing Telephone | 7575372919 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904008885 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 Breezeport Way Ste 400, Suffolk, VA 234353754 | 7575372919 |
| Street Address |
1520 BREEZEPORT WAY STE 400 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23435-3754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423700 | Sean Eric Surber | Physical Therapist | 5818 D Harbour View Blvd., Suite 150, Suffolk, VA 23435 | 2020-06-29 |
| 1871158691 | Lumen Flux Pllc | Dentist | 5501 Bennett's Pasture Road, Suite D, Suffolk, VA 23435 | 2019-05-07 |
| 1588175970 | Louisa Catherine Korte | Anesthesiology | 3107 Summerhouse Drive, Suffolk, VA 23435 | 2017-10-12 |
| 1134648686 | Nicole Short Brown | Non-emergency Medical Transport (VAN) | 782 D Bennetts Meadow Lane, Suffolk, VA 23435 | 2017-09-15 |
| 1104346923 | Southerncare, Inc. | Hospice Care, Community Based | 1037 Champions Way Ste 600, Suffolk, VA 23435 | 2017-06-22 |
| 1801245329 | Usn | Military Hospital | 3602 Traverse Circle, Suffolk, VA 23435 | 2016-06-06 |
| 1366836173 | Vernon Johnson | Counselor | 6805 Castlewood Avenue, Suffolk, VA 23435 | 2015-03-19 |
| 1265776751 | Sister's Developing Growth & Change, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6101 Bradford Drive #b, Suffolk, VA 23435 | 2012-11-21 |
| 1770899247 | Lefcoe, Weinstein, Sachs, Schiff & Associates | Dentist | 210 Meadow View Boulevard, Suffolk, VA 23435 | 2010-08-23 |
| 1770805178 | Nikkiah Wyatt Smith | Counselor | 5705 Lee Farm Ln Ste D, Suffolk, VA 23435 | 2010-02-25 |
| Find all providers in zip 23435 | ||||
| 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 |
|---|---|---|---|---|
| 1174035323 | Arise Behavioral Healthcare | Social Worker | 150 W Washington St Ste I, Suffolk, VA 23434-5229 | 2017-10-27 |
| 1740738335 | Latonya Williams | Social Worker | 3216 Duke of Glouchester Dr, Suffolk, VA 23434-7298 | 2016-09-13 |
| 1760895643 | Rhonda Laruth Yancey | Social Worker | 129 N Saratoga St Ste 1, Suffolk, VA 23434-5255 | 2014-06-09 |
| 1033521463 | Teresa J Bobbio | Social Worker | 109 1/2 Clay St, Suffolk, VA 23434-5205 | 2014-05-20 |
| 1487090429 | Providence Psychological Services Inc | Social Worker | 129 N Saratoga St, Ste 1, Suffolk, VA 23434-5255 | 2013-05-17 |
| 1356594055 | Horses Healing Hearts, Pllc | Social Worker | 6100 Crittenden Rd, Suffolk, VA 23432-1204 | 2008-10-28 |
| 1831264472 | Edwina Chambliss Morrison | Social Worker | 308 Fulcher St, Suffolk, VA 23434-3438 | 2006-11-21 |
| 1780777961 | Logan Ellington-harrison | Social Worker | 135 S Saratoga St, Suffolk, VA 23434-5322 | 2006-10-02 |
| 1598784894 | Carolyn Morris Pierce | Social Worker | 5104 N Bay Hill Ct, Suffolk, VA 23435-2679 | 2006-07-18 |
| 1770551681 | Lynne M. Chubb | Social Worker | 2470 Pruden Blvd, Suffolk, VA 23434 | 2006-03-08 |
| Find all providers in SUFFOLK | ||||
Please comment or provide details below to improve the information on MRS. FONDA ALTHEA LYLES.
| 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.