Heart of Hope Mental Health and Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEART OF HOPE MENTAL HEALTH AND WELLNESS, PLLC

Practice address

198 Spotnap Rd Ste A9
Charlottesville, VA 22911-8614

Phone

(434) 217-0720

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Mary A Jackson, LCSWNPI 1235760786

Title

Owner

Phone

(434) 217-0720

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mary A Jackson, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1235760786
  NPD Authorized official

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1407546286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 SPOTNAP RD STE A9",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118614",
            "telephone_number": "434-217-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 SPOTNAP RD STE A9",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118614",
            "telephone_number": "434-217-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF HOPE MENTAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-217-0720",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1235760786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.