Champion Comprehensive Virtual Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CHAMPION COMPREHENSIVE VIRTUAL SERVICES LLC

Practice address

860 Bay Vista Blvd S
St Petersburg, FL 33705-5947

Phone

(724) 812-1101

NPI assigned

Jun 15, 2021

Last updated

Jun 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

CHAMPION COMPREHENSIVE EVOLUTIONAs reported in NPPES

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

Authorized official

Name

Dr. Katherine Ferrari, PHD, LCSW, MSWNPI 1124151311

Title

Founder

Phone

(724) 812-1101

Specialties & licenses 1

Addresses

Other names 1

• CCVS Other name

Electronic endpoints 1

Part of

Champion Comprehensive Evolution

Interoperability endpoints

• Direct secure messaging: accountmanagement@ccceadvantage.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Danielle Ferrari, PH.D., LCSW, MSW

  • Clinical Social Worker
  • Melcroft, PA
  • NPI 1124151311
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1265000327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 DAHL RD",
            "city": "CHAMPION",
            "state": "PA",
            "postal_code": "156222077",
            "telephone_number": "724-455-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BAY VISTA BLVD S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055947",
            "telephone_number": "724-812-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION COMPREHENSIVE VIRTUAL SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAMPION COMPREHENSIVE EVOLUTION",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "FERRARI",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "724-812-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "accountmanagement@ccceadvantage.com",
            "affiliation": "N",
            "address_1": "860 Bay Vista Blvd S",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337055947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CCVS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CCVS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kendra Bethany Chamberlain, APRN, FNP-C
• Robert Olin Chamberlin, M.D.
• Colleen Chambers, MSN, APRN, CPNP
• Jennifer Rebecca Chambers, D.O.
• Wilfredo Chamizo, M.D.
• Colin Chan, M.D.
• Daniel Tim Chan, DO
• Denise Michelle Chan, MD
• Mark Chan, DO, MS
• Rainer Quijada Chan, M.D.

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.