Active NPI
Inside Space Healing Collective LLC
- Clinical Social Worker
- Newport News, VA
National Provider Identifier
1124901392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- INSIDE SPACE HEALING COLLECTIVE LLC
- Practice address
- 753 Thimble Shoals Blvd Ste D3
Newport News, VA 23606-3598 - Phone
- (757) 449-2569
- NPI assigned
- Jul 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Diggs, LCSW
- Title
- Chief Executive Officer
- Phone
- (757) 449-2569
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
753 Thimble Shoals Blvd Ste D3
Newport News, VA 23606-3598
Mailing address
438 Dunmore Dr
Newport News, VA 23602-6458
Phone (757) 449-2569
National Provider Directory
National Provider DirectoryLocations
753 Thimble Shoals Blvd
Ste D3
Newport News, VA 23606
Phone (757) 449-2569
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1124901392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 DUNMORE DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236026458",
"telephone_number": "757-449-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 THIMBLE SHOALS BLVD STE D3",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063598",
"telephone_number": "757-449-2569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIDE SPACE HEALING COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-27",
"status": "A",
"authorized_official_last_name": "DIGGS",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "757-449-2569",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
- Chantha Innerarity
- Ruth Helen Innes, M.D.
- Innovage Virginia Pace II, LLC
- Innovative Counseling Services LLC
- Karen K Inscoe, CRNA
- Inspirations of Me Community Engagement LLC
- Inspire Life Therapy
- Inspired Life Services LLC
- Institute for Family Centered Services
- Intensive in-Home Counseling and Mentoring Division, LP.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.