Conquering Obstacles With Ambitious Commitment & Healing, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CONQUERING OBSTACLES WITH AMBITIOUS COMMITMENT & HEALING, LLC

Practice address

2005 Old Greenbrier Rd Ste 102
Chesapeake, VA 23320-2649

Phone

(757) 550-1594

Fax

(757) 578-8244

NPI assigned

Sep 15, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Shana Simmons, LCSWNPI 1457856122

Title

Ceo/Clinical Director

Phone

(757) 701-0762

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Shana Simmons, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1457856122
  NPD Authorized official

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1497360465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 GRANBY ST STE 206",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102622",
            "telephone_number": "757-550-1594",
            "fax_number": "757-578-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 OLD GREENBRIER RD STE 102",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202649",
            "telephone_number": "757-550-1594",
            "fax_number": "757-578-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUERING OBSTACLES WITH AMBITIOUS COMMITMENT & HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-701-0762",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "address_1": "1216 Granby St Ste 206",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235102622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Rachel Conner, BCBA
• Lakeshia Conquest, QMHP
• Caleb M Conrad, DMD
• Consulting & Community Resources LLC
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• Convenient Care of Tidewater

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, 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 Aug 7, 2021; 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.