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:
Map and Directions
Authorized official contact:
Name: Reid, Rebecca Dean Licensed Clinical Social Worker (LCSW)
Phone: (757) 456-0505

Health care specialties

SpecialtyCodeLicense #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 14 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.

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Identifiers

StateTypeNumberIssuer
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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