NPI 1194923144 · live from the CMS NPI Registry
Chesapeake Center For Psychotherapy
Social Worker, Clinical in Chesapeake, VA. National Provider Identifier 1194923144, active.
NPI record
| NPI | 1194923144 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1015 Eden Way N, Suite D, Chesapeake, VA 23320 |
| Practice phone | 757-477-2153 |
| Enumerated | July 10, 2007 |
| Last updated | July 10, 2007 |
| Authorized official | Donna Paris, Clinical Director/Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Psychologist, Clinical | 103TC0700X | — |
| Marriage & Family Therapist | 106H00000X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Social Worker, Clinical primary | 1041C0700X | 0904003177 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.