Keisha N. Caddle

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

10109 Krause Rd Ste 300
Chesterfield, VA 23832-6501

Phone

(804) 909-3497

NPI assigned

Jan 5, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Opportunities for a Better Tomorrow, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chesterfield, VA
  • NPI 1528780848
  NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1104587716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 KRAUSE RD STE 201",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326501",
            "telephone_number": "804-909-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10109 KRAUSE RD STE 300",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326501",
            "telephone_number": "804-909-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADDLE",
        "first_name": "KEISHA",
        "middle_name": "N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Allen Bullock IV, LCSW, CSAC
• Buna Transportation Services, LLC
• Kasey Marie Burch, LPN
• Christina Burnette
• Byron Porcher Comprehensive Counseling Services
• Abisola Moriam Canady, FNP-BC
• Elizabeth Turner Cancro, FNP
• David A Canfield, CPHT
• Cardiac Connections Home Health Care Nursing Services Corp.
• Carebridge at Home, LLC

• Clinical Social Worker in Chesterfield, VA
• Providers in Chesterfield, 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 Aug 9, 2023; 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.