Aya Ventures LCC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AYA VENTURES LCC

Practice address

3068 Kenelm Dr
Chesapeake, VA 23323-2841

Phone

(973) 670-2265

NPI assigned

Jun 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Damaris Santiago, LCSWNPI 1942651161

Title

Ceo

Phone

(973) 670-2265

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damaris Santiago, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1942651161
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1033787007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 KENELM DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232841",
            "telephone_number": "973-670-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3068 KENELM DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233232841",
            "telephone_number": "973-670-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYA VENTURES LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-670-2265",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.