NPIMap

Organization Active NPI

Dominion Outpatient Services

  • Social Worker
  • Richmond, VA
National Provider Identifier
1275800765
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904007163 Issued in VA
Legal business name
DOMINION OUTPATIENT SERVICES
Practice address
6767 Forest Hill Ave
Suite 307
Richmond, VA 23225-1856
Phone
(804) 272-2000
Fax
(804) 272-2030
NPI assigned
Nov 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Authorized official

Name
Mrs. Kimberly Hines, LCSW
Title
Service Director
Phone
(804) 272-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 0904007163 VA Primary

Addresses

Primary practice location

6767 Forest Hill Ave
Suite 307
Richmond, VA 23225-1856

Mailing address

6767 Forest Hill Avenue
Suite 307
Richmond, VA 23225
Phone (804) 272-2000

National Provider Directory

National Provider Directory
Tax ID family
Slidell Addictive Disorders Clinic35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

6767 Forest Hill Ave
Ste 307
Richmond, VA 23225
Phone (804) 272-2000

Practitioners & affiliated clinicians

Practitioners 2

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": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1275800765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 FOREST HILL AVENUE",
            "address_2": "SUITE 307",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23225",
            "telephone_number": "804-272-2000",
            "fax_number": "804-272-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 FOREST HILL AVE",
            "address_2": "SUITE 307",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251856",
            "telephone_number": "804-272-2000",
            "fax_number": "804-272-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "804-272-2000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904007163",
            "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 Nov 28, 2011; 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.