Agewell Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004927 Issued in VA

Legal business name

AGEWELL COUNSELING LLC

Practice address

5529 Snead Rd
Richmond, VA 23224-6038

Phone

(804) 840-2623

NPI assigned

Aug 7, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Terrie Lynn Pendleton, LCSWNPI 1639262132

Title

Owner/Licensed Clinical Social Work

Phone

(804) 840-2623

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrie Lynn Pendleton, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1639262132
  NPD (past) Authorized official

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1225517642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5192",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120020",
            "telephone_number": "804-840-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5529 SNEAD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246038",
            "telephone_number": "804-840-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGEWELL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "PENDLETON",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "804-840-2623",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickas Agarwal, MD, DDS
• Caroline Agee, LSP
• Delbert James Agee, RPH
• Agency Taxicab Services LLC
• Tauhidah Rashidah Ager, CNA
• Jeanne Kathleen Aggabao
• Gauri Aggarwal, MD
• Vishal Aggroia, MD
• Nicole Angeliana Agnese, LCSW
• Heather Young Agnew, C.P.N.P

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, 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 7, 2018; 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.