Teshana Denise Gipson, LCSW, CSOTP, EDD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004917 Issued in VA

Practice address

4500 Richmond Henrico Tpke
Richmond, VA 23222-1346

Phone

(804) 308-1652

Fax

(804) 308-1653

NPI assigned

Oct 23, 2006

Last updated

Jan 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teshana Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ndutime Youth & Family Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Richmond, VA
  • NPI 1336222710
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1093898470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15808",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232275808",
            "telephone_number": "804-308-1652",
            "fax_number": "804-308-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 RICHMOND HENRICO TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232221346",
            "telephone_number": "804-308-1652",
            "fax_number": "804-308-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "TESHANA",
        "middle_name": "DENISE",
        "credential": "LCSW, CSOTP, EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "0904004917",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESHANA",
            "last_name": "HENDERSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Summerfield Ginsberg
• Anthony Michael Giordano, M.D.
• Roger Gregory Giordano, M.D.
• Graham T Gipson, MD
• Katherine Rose Gipson, LCSW
• Macario Giraldo, PHD
• Laura Clare Girard
• Laura Holzbach Girard, RN
• Philippe H Girerd, M.D.
• Alexander K. Girevendulis, M.D.

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, 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 Jan 9, 2024; 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.