Individual provider Active NPI

Tanika Yarbrough, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1104008077
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006254 Issued in VA
Practice address
300 Arboretum PL Ste 502
North Chesterfield, VA 23236-3473
Phone
(804) 560-8001
Fax
(804) 560-6875
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006254 VA Primary

Addresses

Primary practice location

300 Arboretum PL Ste 502
North Chesterfield, VA 23236-3473

Mailing address

5404 Edgefield St
Richmond, VA 23227-2619
Phone (804) 261-5715

Other practice location 1

10101 Brook Rd Ste 864
Glen Allen, VA 23059-6523
Phone (804) 486-2239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904006254VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Youth & Family Services of Virginia, Inc. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1104008077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 EDGEFIELD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272619",
            "telephone_number": "804-261-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARBORETUM PL STE 502",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363473",
            "telephone_number": "804-560-8001",
            "fax_number": "804-560-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Brook Rd Ste 864",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230596523",
            "country_code": "US",
            "telephone_number": "804-486-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YARBROUGH",
        "first_name": "TANIKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.