Child and Family Counseling Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHILD AND FAMILY COUNSELING SERVICES, INC.

Practice address

211 N 5TH Ave
Hopewell, VA 23860-2509

Phone

(804) 458-6369

Fax

(804) 862-5869

NPI assigned

Jul 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Michael Walters Sr., LCSW

Title

President

Phone

(804) 458-6369

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184659252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N 5TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602509",
            "telephone_number": "804-458-6369",
            "fax_number": "804-862-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 5TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602509",
            "telephone_number": "804-458-6369",
            "fax_number": "804-862-5869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-458-6369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902631",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "044641",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Virginia Health Services Inc (CVHS Blue Devils Health Center)
• Krishna Chakravarthula, B.PHARMACY,MPH
• Michelle Chessock, PA-C
• Chesterfield Kidney Associates, P.C.
• Harriet Chestnut, COTA/L
• Children & Adolescents Clinic, Inc
• City of Hopewell (Hopewell Fire & EMS)
• City of Hopewell
• Felisha Claiborne, RN
• Katherine Suzanne Seidel Clapp

• Clinical Social Worker in Hopewell, VA
• Providers in Hopewell, 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 22, 2020; 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.