Mental Health CPR, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL HEALTH CPR, LLC

Practice address

17638 Marsh Harbor LN
Dumfries, VA 22026-4530

Phone

(703) 981-2399

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Demitra Chandler, MSW, LCSWNPI 1700419645

Title

Owner

Phone

(703) 981-2399

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Demitra Chandler

  • Clinical Social Worker
  • Warrenton, VA
  • NPI 1700419645
  NPD Authorized official
• Alexis Corina Haymans, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1477379832
  NPD (past)

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1619725587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17638 MARSH HARBOR LN",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264530",
            "telephone_number": "703-981-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17638 MARSH HARBOR LN",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220264530",
            "telephone_number": "703-981-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH CPR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "DEMITRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-981-2399",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert McClatchey, DME PROVIDER
• Judy Billig McManus, FNP-BC
• Ariel Marie Meaney, RESIDENT
• Medical Transportation-Tender Care LLC
• Medrovers LLC
• Hermon Mesfin, FNP
• Mavis Mintaah, LCSW
• Seyed Ali Mirsaeide-Farahani, DDS
• Lucia Isac Mitchell, RD
• Amanda Renee Moh-Diaz

• Clinical Social Worker in Dumfries, VA
• Providers in Dumfries, 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 May 7, 2024; 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.