NPIMap

Organization Active NPI

Transforming Life Care Services LLC

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1043587652
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007188 Issued in VA
Legal business name
TRANSFORMING LIFE CARE SERVICES LLC
Practice address
509 Bay Oak Dr
Chesapeake, VA 23323-4245
Phone
(804) 980-5763
NPI assigned
Nov 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

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

Authorized official

Name
Miss Lynnelle Renee' Harrell, LCSW
Title
Licensed Clinical Social Worker
Phone
(804) 980-5763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904007188 VA Primary

Addresses

Primary practice location

509 Bay Oak Dr
Chesapeake, VA 23323-4245

Mailing address

509 Bay Oak Dr
Chesapeake, VA 23323-4245
Phone (804) 980-5763

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1043587652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 BAY OAK DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234245",
            "telephone_number": "804-980-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BAY OAK DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234245",
            "telephone_number": "804-980-5763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMING LIFE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-27",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "LYNNELLE",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "804-980-5763",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; 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.