Northern Neck Life Consultants, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904005207 Issued in VA

Legal business name

NORTHERN NECK LIFE CONSULTANTS, PLLC

Practice address

25 Office Park Dr Ste 2
Kilmarnock, VA 22482-2805

Phone

(804) 356-3008

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Albert Leonidas Archard, LCSW

Title

President

Phone

(804) 356-3008

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1629485115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224820607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OFFICE PARK DR STE 2",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224822805",
            "telephone_number": "804-356-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NECK LIFE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "ARCHARD",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "LEONIDAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-356-3008",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Mothershead, PHARMD
• David Alan Newman, DMD
• Michael David Nickerson Sr., DDS
• Northern Neck Chiropractic PC
• Northern Neck Free Health Clinic
• Northern Neck Nephrology PC
• Northern Neck Surgical Services
• Old Dominion Eye Care Inc
• William Steven Owen, DDS
• Oyster Point Psychological, Inc

• Clinical Social Worker in Kilmarnock, VA
• Providers in Kilmarnock, 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 Jul 16, 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.