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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 251B00000X | Case Management | | | | No |
| 2 | 252Y00000X | Early Intervention Provider Agency | | 24107004 | VIRGINIA | No |
| 3 | 1041C0700X | Social Worker | Clinical | 24107004 | VIRGINIA | No |
| 4 | 101Y00000X | Counselor | | 24107004 | VIRGINIA | No |
| 5 | 171WH0202X | Contractor | Home Modifications | | | No |
| 6 | 103G00000X | Clinical Neuropsychologist | | | | No |
| 7 | 251S00000X | Community/Behavioral Health | | | | No |
| 8 | 106H00000X | Marriage & Family Therapist | | 24107004 | VIRGINIA | No |
| 9 | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | | 241-01-001 | VIRGINIA | No |
| 10 | 163WC0400X | Registered Nurse | Case Management | | | No |
| 11 | 225CA2400X | Rehabilitation Counselor | Assistive Technology Practitioner | | | No |
| 12 | 251C00000X | Day Training, Developmentally Disabled Services | | | | No |
| 13 | 225CA2500X | Rehabilitation Counselor | Assistive Technology Supplier | | | No |
| 14 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | | | No |
| 15 | 2084P0800X | Psychiatry & Neurology | Psychiatry | 24107004 | VIRGINIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 4945565 | MEDICAID | VIRGINIA | |
