JULIE BALDOCK TIMBERLAKE (NPI# 1831521095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831521095 |
| Entity Type | Individual |
| Full Name | JULIE BALDOCK TIMBERLAKE |
| Credential | LCSW |
| Practice Address |
21 Walnut Blvd Suites 1-3 Petersburg VA 23805-2109 |
| Practice Telephone | 8047673470 |
| Practice Fax Number | 8044900150 |
| Mailing Telephone | 8047673470 |
| Mailing Fax Number | 8044900150 |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0904006910 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSED CLINICAL SOCIAL WORKER | 0904006910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477687747 | Julie L Timberlake | Physical Therapist | 1502 W 4th St, Ontario, OH 44906-1838 | 2007-03-16 |
| 1760029870 | Julie A Timberlake | Nurse Practitioner | 700 W Forest Ave Ste 300, Jackson, TN 38301-3946 | 2019-12-09 |
| Street Address |
21 WALNUT BLVD SUITES 1-3 |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426291 | Patrice Nicole Shuford | Counselor | 1430 Farmer St, Petersburg, VA 23803-3941 | 2020-01-24 |
| 1538705025 | Tyechia Michelle Parker | Counselor | 20 W Bank St Ste 8, Petersburg, VA 23803-3279 | 2019-11-20 |
| 1710467097 | Bernetta Rodgers Quinn | Counselor | 612 S Sycamore St Ste B, Petersburg, VA 23803-5837 | 2018-08-16 |
| 1124548581 | Healthyminds, Inc. | Counselor | 1250 E Washington St, Petersburg, VA 23803-3465 | 2017-06-26 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1679996870 | Jovat Bates | Counselor | 444 Pine Ridge Rd, Petersburg, VA 23805-1320 | 2014-01-24 |
| 1053671461 | Rizing Starz,llc | Counselor | 31c South Jefferson St, Petersburg, VA 23803-4331 | 2012-05-18 |
| 1871874867 | Jay Stanton Gregor | Counselor | 15, 12th St., Petersburg, AK 99833-2155 | 2011-09-02 |
| 1215172341 | Reginald Maurice Hill | Counselor | 20 W Bank St Ste 1, Petersburg, VA 23803-3279 | 2008-12-03 |
| 1063669414 | Therapeutic In Home Counseling | Counselor | 1949 Vesonder Rd, Petersburg, VA 23805-2933 | 2008-08-27 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on JULIE BALDOCK TIMBERLAKE.
| 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.