DISTRICT 19 COMMUNITY SERVICES BOARD (NPI# 1194760462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194760462 |
| Entity Type | Organization |
| Organization Name | DISTRICT 19 COMMUNITY SERVICES BOARD |
| Other Organization Name | DISTRICT 19 MENTAL HEALTH SERVICES |
| Practice Address |
215 W Atlantic St Emporia VA 23847-1223 |
| Mailing Address |
203 Vincent Dr Henrico NC 27842-9565 |
| Practice Telephone | 4346345181 |
| Mailing Telephone | 2525374222 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BECKY HUTTO (ADMINISTRATIVE SECRETARY) |
| Authorized Official Telephone | 804-862-8054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C005228 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904001344 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA | 087578 | 01 |
| VA | ANTHEM | 107318 | 01 |
| VA | 4945280 | 05 |
| Other Name | Type Code |
|---|---|
| District 19 Mental Health Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1679510226 | District 19 Community Services Board | Public Health or Welfare | 5012 Selwood Rd, Richmond, VA 23234-4246 | 2006-06-01 |
| 1225094451 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St, Suite 2, Petersburg, VA 23803-3279 | 2006-04-25 |
| 1669970646 | District 19 Community Services Board | Early Intervention Provider Agency | 20 W Bank St Ste 5, Petersburg, VA 23803-3279 | 2018-01-25 |
| 1790113280 | District 19 Community Services Board | Community/Behavioral Health | 232 Coppahaunk Ave, Waverly, VA 23890-5041 | 2013-10-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DISTRICT 19 COMMUNITY SERVICES BOARD | 20 West Bank Street Ste 2, Petersburg, VA 23803-3279 |
| Street Address |
215 W ATLANTIC ST |
| City | EMPORIA |
| State | VA |
| Zip Code | 23847-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235171224 | Stacey Lea Ingram | Counselor | 215 W Atlantic St, Emporia, VA 23847-1223 | 2006-06-12 |
| 1043465248 | Brandon Wendell Farmer | Counselor | 215 W Atlantic St, Emporia, VA 23847-1223 | 2008-12-02 |
| 1316067655 | Wanda Freeman-abbott | Social Worker | 215 W Atlantic St, Emporia, VA 23847-1223 | 2007-03-30 |
| 1568512838 | April Renee Crable | Counselor | 215 W Atlantic St, Emporia, VA 23847-1223 | 2007-01-11 |
| 1669402277 | Margaret Allen Watson | Registered Nurse | 215 W Atlantic St, Emporia, VA 23847-1223 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
| 1669496030 | Prince Squire Medical Center PC | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| 1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
| Find all providers in zip 23847 | ||||
| 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 |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1780065334 | Latroyal Smith | Social Worker | 139 Baker St # C, Emporia, VA 23847-1703 | 2015-06-09 |
| 1023210606 | Ellen Luffman Laseter | Social Worker | 1625 Walnut Dr, Emporia, VA 23847-2821 | 2007-06-05 |
| 1053473249 | Cynthia K Maxwell | Social Worker | 9 W 5th Ave, Emporia, KS 66801-4035 | 2006-12-14 |
| 1942362132 | Nancy B Coddington Romine | Social Worker | 2171 Morningside Dr, Emporia, KS 66801-5436 | 2006-12-14 |
| 1194005306 | Evelyn V Smith | Social Worker | 420 W 15th Ave, Emporia, KS 66801-5367 | 2011-08-18 |
| 1275839250 | Phipps Family Services, LLC | Social Worker | 139c Baker St, Emporia, VA 23847-1703 | 2011-02-08 |
| 1073834909 | Melinda K Wallace | Social Worker | 1000 Lincoln St, Emporia, KS 66801-2449 | 2010-06-15 |
| 1871821603 | Anastasia Katrina Smith | Social Worker | 727 N Main St, Emporia, VA 23847-1274 | 2009-12-07 |
| 1811156540 | Sheri R Daudet | Social Worker | 1000 Lincoln St, Emporia, KS 66801-2449 | 2008-06-06 |
| Find all providers in EMPORIA | ||||
Please comment or provide details below to improve the information on DISTRICT 19 COMMUNITY SERVICES BOARD.
| 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.