VIKE CORNELAI XIDES (NPI# 1255402004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255402004 |
| Entity Type | Individual |
| Full Name | VIKE CORNELAI XIDES |
| Credential | LCSW |
| Practice Address |
2580 Potters Rd Virginia Beach VA 23454-4324 |
| Practice Telephone | 7574989391 |
| Practice Fax Number | 7574987073 |
| Mailing Telephone | 7574989391 |
| Mailing Fax Number | 7574987073 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904000697 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SENTARA | O82008 | 01 |
| VA | 008910197 | 05 | |
| VA | ANTHEM BCBS | 055043 | 01 |
| Street Address |
2580 POTTERS RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790757656 | Talya Gershon | Counselor | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-02-06 |
| 1093126690 | Jessica Milligan | Physician Assistant | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2014-05-16 |
| 1578900759 | Janelle Lynn Mason | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2013-05-29 |
| 1235470733 | Paul Walker Jr. | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2013-03-07 |
| 1285871038 | Dominion Psychiatric Associates | Counselor | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2009-01-15 |
| 1811144777 | Emilio G Cortes | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2008-08-22 |
| 1124289392 | Elizabeth A Kamin | Psychiatry & Neurology | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2008-06-20 |
| 1033283593 | Leslie E Murray | Psychiatry & Neurology | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-11-17 |
| 1801967344 | Edward Vicar Reynolds IIi | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-11-13 |
| 1730258328 | Judith Griffin | Social Worker | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| 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 |
|---|---|---|---|---|
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1336760495 | Rdh Counseling and Consulting, LLC | Social Worker | 5301 Providence Rd Ste 40, Virginia Beach, VA 23464-4128 | 2020-04-29 |
| 1326674045 | Jennifer Diano Hart | Social Worker | 1765 Gravenhurst Dr, Virginia Beach, VA 23464-8651 | 2020-03-13 |
| 1225677321 | Jill H Motcheck | Social Worker | 2020 Adobe Ct, Virginia Beach, VA 23456-4924 | 2020-01-06 |
| 1386283646 | Shadiyah N. Rozier | Social Worker | 1704 Halesworth Ln, Virginia Beach, VA 23456-4885 | 2020-01-03 |
| 1093350316 | Emmy Louise Ray | Social Worker | 3712 Prince Andrew Ln, Virginia Beach, VA 23452-3911 | 2019-11-11 |
| 1033760145 | Shaena Wiggins | Social Worker | 208 Olivine Ave Apt 104, Virginia Beach, VA 23462-4489 | 2019-09-20 |
| 1003475575 | Erin Mcmenamin | Social Worker | 1909 Split Rail Dr, Virginia Beach, VA 23453-6614 | 2019-06-10 |
| 1851853410 | Paige Kinnison | Social Worker | 258 N Witchduck Rd, Virginia Beach, VA 23462-6556 | 2019-04-03 |
| 1972077972 | Embrace Therapeutic Solutions LLC | Social Worker | 5250 Challedon Dr, Virginia Beach, VA 23462-6304 | 2019-01-14 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.