Clinical Associates Of Tidewater, P.C.
LBN: Clinical Associates Of Tidewater, P.C.
Clinical Associates Of Tidewater, P.C. is an health care organization with primary practice located at 6320 N Center Dr Suite 101, Norfolk VA 23502-4009. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty.
Clinical Associates Of Tidewater, P.C. can be contacted via phone (757) 456-0505, or through Reid, Rebecca Dean via phone (757) 456-0505.
Contact Information
Primary practice address
6320 N Center Dr Suite 101
Norfolk VA 23502-4009
Phone: (757) 456-0505
Fax: (757) 456-0817
Website:
Authorized official contact:
Name: Reid, Rebecca Dean Licensed Clinical Social Worker (LCSW)
Phone: (757) 456-0505
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1124060314 |
|---|---|
| LBN Legal business name | Clinical Associates Of Tidewater, P.C. |
| DBA Doing business as | |
| Authorized official | Reid, Rebecca Dean Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 2nd, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124060314 | NPPES |
| Virginia | MEDICAID | 8917124 | |
| Virginia | MEDICAID | 6717951 | |
| Virginia | MEDICAID | 7704241 | |
| Virginia | MEDICAID | 7730667 | |
| Virginia | Other | 216460 | |
| Virginia | Other | 72705 | |
| Virginia | MEDICAID | 7702451 | |
| Virginia | MEDICAID | 7761775 | |
| Virginia | Other | 322713 | |
| Virginia | Other | 72702 | |
| Virginia | Other | 93140 |
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