Organization Active NPI

Mount Pleasant Clinical Associates

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1467869362
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001708 Issued in VA
Legal business name
MOUNT PLEASANT CLINICAL ASSOCIATES
Practice address
229 Mount Pleasant Rd
Chesapeake, VA 23322-4157
Phone
(757) 482-1075
Fax
(757) 547-3591
NPI assigned
Jul 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2014

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

Authorized official

Name
Joan Enos Duhaime, CSWNPI 1316970460
Title
Owner
Phone
(757) 482-1075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904001708 VA Primary

Addresses

Primary practice location

229 Mount Pleasant Rd
Chesapeake, VA 23322-4157

Mailing address

229 Mount Pleasant Rd
Chesapeake, VA 23322-4157
Phone (757) 482-1075

Other identifiers 1

IdentifierTypeStateIssuer
008902823MedicaidVA

National Provider Directory

National Provider Directory

Locations

229 Mount Pleasant Rd
Chesapeake, VA 23322
Phone (757) 482-1075

Practitioners & affiliated clinicians

Practitioners 1

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": "1405209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1467869362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MOUNT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224157",
            "telephone_number": "757-482-1075",
            "fax_number": "757-547-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 MOUNT PLEASANT RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224157",
            "telephone_number": "757-482-1075",
            "fax_number": "757-547-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT PLEASANT CLINICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-13",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "DUHAIME",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ENOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-482-1075",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008902823",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.