MOMENTUM COUNSELING AND WELLNESS LLC (NPI# 1689122012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689122012 |
| Entity Type | Organization |
| Organization Name | MOMENTUM COUNSELING AND WELLNESS LLC |
| Practice Address |
431 Walton Park Road Midlothian VA 23114 |
| Practice Telephone | 8044372599 |
| Mailing Telephone | 8044372599 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | KERRIE LYNNE BOGAZ (OWNER) |
| Authorized Official Telephone | 8044372599 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904006987 | VA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Momentum Counseling and Wellness LLC | 431 Walton Park Rd, Midlothian, Virginia 23114 |
| Street Address |
431 WALTON PARK ROAD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122162 | Jotava | In Home Supportive Care | 1607 Titanium Avenue, 202, Midlothian, VA 23114 | 2020-10-20 |
| 1104393735 | Shelley Hurwitz | Occupational Therapist | 13800 Bon Secours Drive, Midlothian, VA 23114 | 2018-11-01 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1154814796 | Bon Secours St Francis Medical Center Inc. | Clinic/Center | 13700 St Francis Blvd Ste 105, Midlothian, VA 23114 | 2018-06-08 |
| 1023516630 | Leah Reed | Occupational Therapist | 13800 Bon Secours Dr, Midlothian, VA 23114 | 2018-01-29 |
| 1750765996 | Arlene Roper | Physical Therapy Assistant | 1700 Redbourne Ct, Apt 101, Midlothian, VA 23114 | 2015-07-17 |
| 1518353937 | Tamaika Floy | Podiatrist | 611 Watkins Centre Pkwy Ste 170, Midlothian, VA 23114 | 2015-04-13 |
| 1760790489 | Markita Wolf | Psychologist | 831 Grove Rd Ste C, Midlothian, VA 23114 | 2010-09-15 |
| 1306153119 | Jacinda Beth Chaisson | Physical Therapist | 13700 St. Francis Blvd., Suite 103, Midlothian, VA 23114 | 2010-09-01 |
| 1275848574 | Daniel James Roberts Jr. | Occupational Therapy Assistant | One West Park Circle, Suite 108, Midlothian, VA 23114 | 2010-08-11 |
| Find all providers in zip 23114 | ||||
| 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 |
| 1245634005 | Mary T Vilcheck | Social Worker | 14801 Billstone Dr, Midlothian, VA 23112-4190 | 2014-10-22 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
Please comment or provide details below to improve the information on MOMENTUM COUNSELING AND WELLNESS LLC.
| 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.