CARI S. BRADDOCK


Address: 628 Lake St Ne, Wise, VA 24293-7919
Phone: 2763288017

CARI S. BRADDOCK (NPI# 1962919035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962919035
Entity Type Individual
Full Name CARI S. BRADDOCK
Practice Address 628 Lake St Ne
Wise
VA 24293-7919
Practice Telephone 2763288017
Enumeration Date 2018-01-10
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
PGP-0646591 VA Behavioral Health & Social Service Providers

Office Location

Street Address 628 LAKE ST NE
City WISE
State VA
Zip Code 24293-7919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992976740 Deborah Goodman Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2008-03-20
1427524032 Shaina Morgan Hall Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2018-10-22
1992209886 Davina Anne Pate Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2018-03-23
1093227407 Kayla Brooke Tiller Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2017-10-26
1689185969 Phyllis Houston Dishner Occupational Therapy Assistant 628 Lake St Ne, Wise, VA 24293-7919 2017-10-13
1275059362 Janice Triplett Speech-Language Pathologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-21
1205351251 Susan Taylor Mullins Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-11
1487179438 Maranda Vandyke Fuller Psychologist 628 Lake St Ne, Wise, VA 24293-7919 2017-08-11
1235519968 Joyce Addington Nurse Practitioner 628 Lake St Ne, Wise, VA 24293-7919 2015-06-08

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1104442367 New Hope Addiction Recovery Inc Family Medicine 106 Spring Avenue Ne, Wise, VA 24293 2020-06-23
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1831743632 Ttgi2 LLC Pharmacy 426 West Main Street, Wise, VA 24293 2019-07-30
1861919730 Mckenzie Grace Trotter Speech-Language Pathologist 324 School Ave Southeast, Wise, VA 24293 2017-08-23
1043734023 3 Guys Transport LLC Non-emergency Medical Transport (VAN) 5519 Pole Bridge Road, Wise, VA 24293 2017-08-01
1013352699 Tester Chiropractic LLC. Chiropractor 411 East Main Street, Wise, VA 24293 2013-05-08
1861737181 Family Preservation Services, Inc Community/Behavioral Health 5913 Airport Road, Wise, VA 24293 2012-11-28
1255614749 Family Preservation Services, Inc Community/Behavioral Health 342 School Street, Wise, VA 24293 2011-09-21
1891013520 Wise Rescue Squad Inc Ambulance 302 Railroad Ave, Wise, VA 24293 2010-05-05
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1437799111 Allison Ferreira Social Worker 75 Walpole St, Stafford, VA 22554-6574 2020-01-10
1922646546 Mary B Guthrie Social Worker 8020 Riverstone Drive, Fredericksburg, Va, Fredericksburg, VA 22407-2240 2019-12-13
1174160360 Jennifer Craiger Social Worker 11632 Catharpin Rd, Spotsylvania, VA 22553-3607 2019-12-06
1952948150 Karen Long Social Worker 8801 Courthouse Rd, Spotsylvania, VA 22553-2515 2019-12-06
1508407396 Good Life Counseling, LLC Social Worker 1 Mill St Ste 201, Farmville, VA 23901-3401 2019-10-02
1003475922 Cherelle Monea' Washington Social Worker 1030 N Mckinley Rd, Arlington, VA 22205-1620 2019-06-13
1750948832 Candance Yolanda Walton Social Worker 351 Kings Fork Rd, Suffolk, VA 23434-7151 2019-05-23
1912563669 Christine Shockey Katcher Social Worker 125 S Old Glebe Rd, Arlington, VA 22204-1739 2019-05-17
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Competitor

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City WISE
Zip Code 24293

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Dataset Information

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.

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