Individual provider Active NPI

Deleshia Williams, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1508338518
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013183 Issued in VA
Practice address
732 Eden Way N # 185
Chesapeake, VA 23320-2798
Phone
(757) 543-1870
Fax
(757) 502-8139
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102129 VA
Clinical Social Worker 1041C0700X 0904013183 VA Primary

Addresses

Primary practice location

732 Eden Way N # 185
Chesapeake, VA 23320-2798

Mailing address

732 Eden Way N # 185
Chesapeake, VA 23320-2798
Phone (757) 543-1870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710102129VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Wellness and Recovery LLC Addiction (Substance Use Disorder) CurrentSince Oct 13, 2019 Accepting new patients
Positive Pathways, Inc Past Accepting new patients
Crossroads Treatment Center of Suffolk, PC Past Accepting new patients

Locations

732 Eden Way N
#185
Chesapeake, VA 23320
Phone (757) 543-1870

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1508338518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N # 185",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-543-1870",
            "fax_number": "757-502-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 EDEN WAY N # 185",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202798",
            "telephone_number": "757-543-1870",
            "fax_number": "757-502-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DELESHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102129",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013183",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 22, 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.