Organization Active NPI

Bethany Christian Services

  • Social Worker
  • Virginia Beach, VA
National Provider Identifier
1386067445
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904008280 Issued in VA
Legal business name
BETHANY CHRISTIAN SERVICES
Practice address
287 Independence Blvd Ste 241
Virginia Beach, VA 23462-2956
Phone
(757) 499-9367
Fax
(757) 518-8356
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
Ashley Conrad
Title
Director
Phone
(757) 499-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 0904008280 VA Primary

Addresses

Primary practice location

287 Independence Blvd Ste 241
Virginia Beach, VA 23462-2956

Mailing address

287 Independence Blvd Ste 241
Virginia Beach, VA 23462-2956
Phone (757) 499-9367

National Provider Directory

National Provider Directory

Locations

287 Independence Blvd
Ste 241
Virginia Beach, VA 23462
Phone (757) 499-9367

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1386067445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD STE 241",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622956",
            "telephone_number": "757-499-9367",
            "fax_number": "757-518-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 INDEPENDENCE BLVD STE 241",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622956",
            "telephone_number": "757-499-9367",
            "fax_number": "757-518-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY CHRISTIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-499-9367"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904008280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.