Birchwood Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BIRCHWOOD WELLNESS PLLC

Practice address

1 Columbus Ctr Ste 600
Virginia Beach, VA 23462-6760

Phone

(757) 333-0262

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Renee Watters, LCSW

Title

Licensed Clinical Social Worker

Phone

(757) 333-0262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1144868431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS CTR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBUS CTR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-333-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "757-333-0262",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Virginia, Inc.
• Bio-Medical Applications of Virginia, Inc.
• Bio-Medical Applications of Virginia, Inc.
• James Frederick Biondo
• Birchwood Park Rehabilitation and Nursing LLC
• Scott John Birckbichler, DC
• Suzanne Spain Birdsong, CRNA
• Alexander Birk, MD
• Elaine Barbara Birk, LCSW
• Peter Birk, M.D.

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, 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 Dec 17, 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.