Uranda Mae Waller, LCSW, CCTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010373 Issued in VA

Practice address

820 Greenbrier Circle
Suite 32
Chesapeake, VA 23320-2646

Phone

(757) 756-8741

Fax

(757) 500-8075

NPI assigned

Sep 10, 2018

Last updated

Jun 28, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• N.E.W. Touch Counseling, LLC

  • Clinical Social Worker
  • Chesapeake, VA
  • NPI 1487272282
  NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1144703703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 CHRISTIAN AVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233243461",
            "telephone_number": "434-637-6677",
            "fax_number": "757-500-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 GREENBRIER CIRCLE",
            "address_2": "SUITE 32",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202646",
            "telephone_number": "757-756-8741",
            "fax_number": "757-500-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER",
        "first_name": "URANDA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Walker, CPHT
• Zachary Walker, BCBA
• Miata Quintae Wallace, MS
• Talia Nicole Wallace, FNP-C
• Andria Nanette Wallen
• William Harvey Walls Jr., D.D.S.
• Robert Seamus Walsh, PAC
• Joy Walston
• Catherine M. Walters, MS, CCC-SLP
• Michael Walters

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, 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 Jun 28, 2022; 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.