Organization Active NPI

Recovery Virginia Inc

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1194137901
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001540 Issued in VA
Legal business name
RECOVERY VIRGINIA INC
Practice address
10404 Patterson Ave
Suite 207
Richmond, VA 23238-5128
Phone
(804) 359-6771
Fax
(540) 350-2902
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Mr. David Turner, LCSWNPI 1639148182
Title
Owner
Phone
(804) 359-6771

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904001540 VA Primary

Addresses

Primary practice location

10404 Patterson Ave
Suite 207
Richmond, VA 23238-5128

Mailing address

10404 Patterson Ave
Suite 207
Richmond, VA 23238-5128
Phone (804) 359-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141001002418 VA Part B Supplier - Clinic/Group Practice 9638399389 Receives reassigned benefits from 1 practitioner
Practice locations: Glen Allen, VA

National Provider Directory

National Provider Directory

Locations

10404 Patterson Ave
Ste 207
Richmond, VA 23238
Phone (804) 359-6771

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": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1194137901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 PATTERSON AVE",
            "address_2": "SUITE 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385128",
            "telephone_number": "804-359-6771",
            "fax_number": "540-350-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 PATTERSON AVE",
            "address_2": "SUITE 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232385128",
            "telephone_number": "804-359-6771",
            "fax_number": "540-350-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-359-6771",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.