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JEWISH FAMILY SERVICE OF TIDEWATER INCORPORATED NPI 1124088638


NPI Information

NPI: 1124088638
Provider Name: JEWISH FAMILY SERVICE OF TIDEWATER, INCORPORATED
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
260 GRAYSON RD STE 200
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 459-4640
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JEWISH FAMILY SERVICE OF TIDEWATER, INCORPORATED is a clinical social worker in Virginia Beach, VA. The provider is 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. JEWISH FAMILY SERVICE OF TIDEWATER, INCORPORATED NPI is 1124088638. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

260 GRAYSON RD STE 200
VIRGINIA BEACH, VA
ZIP 23462-345
Phone: (757) 459-4640
Fax: (757) 459-4643

The provider's authorized official is Debra Friedman Mayer .
The authorized official title is Clinical Director and has the following contact phone number (757) 459-4640.

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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