Good Grounds LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

GOOD GROUNDS LLC

Practice address

3076 Hull St
Richmond, VA 23224-3574

Phone

(804) 888-2039

NPI assigned

Aug 16, 2017

Last updated

Aug 16, 2017By 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

Sharquita Renee Dudley, LCSW-SNPI 1558989293

Title

Ceo

Phone

(804) 888-2039

Specialties & licenses 2

Addresses

Locations

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.

• Sharquita R Dudley, LCSW

  • Clinical Social Worker
  • Woodbridge, VA
  • NPI 1558989293
  NPD Authorized official

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1376069880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17285 PERINCHIEF ST",
            "city": "RUTHER GLEN",
            "state": "VA",
            "postal_code": "225465807",
            "telephone_number": "804-728-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243574",
            "telephone_number": "804-888-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD GROUNDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "SHARQUITA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-888-2039",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo M Gonzalez, M.D.
• Paige Beach Gonzalez
• Shawn Gonzalez
• Stephanie R Gonzalez, LCSW, CTRP-C
• Violet R Gonzalez, R.D.
• Good Neighbor Day Treatment Services, LLC
• Good Neighbor Homes, LLC
• Holly Rae Goodale, CSA, LSA, CSFA
• Catherine Goodall, MD
• Jean-Venable Robertson Goode, PHARM.D.

• Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.