PROVIDENCE PSYCHOLOGICAL SERVICES INC NPI 1487090429

NPI Details

PROVIDENCE PSYCHOLOGICAL SERVICES INC is a clinical social worker in Suffolk, 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. PROVIDENCE PSYCHOLOGICAL SERVICES INC NPI is 1487090429. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

129 N SARATOGA ST
STE 1
SUFFOLK, VA
ZIP 23434-255
Phone: (757) 539-5353
Fax: (757) 539-5399

The provider's authorized official is Kawanna Evette Ward .
The authorized official title is Ceo and has the following contact phone number (757) 535-7839.

The enumeration date for this NPI number is 5/17/2013 and was last updated on 5/17/2013.

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: