Avenue Counseling PLLC

Organization Active NPI Clinical Social Worker · Jeffersonton, VA

NPI 1386513810 · NPPES record last updated Nov 3, 2025

Key facts

NPI
1386513810
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
AVENUE COUNSELING PLLC
Practice address
6216 Scottsville Rd
Jeffersonton, VA 22724-2342
Phone
(540) 219-3247
NPI assigned
Nov 3, 2025
Organization subpart
No

Authorized official

Name
Dominique Jeroldine Leon Black, LCSW
Title
Owner/Clinician
Phone
(540) 219-3247

Practitioners 1

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

National Provider Directory

Locations

101 Duke St
Ste 205
Culpeper, VA 22701
Phone (540) 219-3247

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

6216 Scottsville Rd
Jeffersonton, VA 22724-2342

Mailing address

6216 Scottsville Rd
Jeffersonton, VA 22724-2342
Phone (540) 219-3247

Other practice location 1

101 Duke St Ste 205
Culpeper, VA 22701-1511
Phone (540) 219-3247

Other providers in Jeffersonton, VA

All providers in Jeffersonton, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.