Families Organized for Renewal and Community Empowerment

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FAMILIES ORGANIZED FOR RENEWAL AND COMMUNITY EMPOWERMENT

Practice address

4037 Taylor Rd Ste C
Chesapeake, VA 23321-5500

Phone

(202) 494-6119

NPI assigned

Aug 1, 2024

Last updated

Aug 1, 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

Dr. Esonija Shavon Fulgham, LCSWNPI 1346674140

Title

Director/Owner

Phone

(202) 494-6119

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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.

• Esonija Shavon Fulgham, LCSW-C, ABD

  • Clinical Social Worker
  • Gaithersburg, MD
  • NPI 1346674140
  NPD Authorized official

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1629807052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD # 612",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351800",
            "telephone_number": "202-494-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 TAYLOR RD STE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215500",
            "telephone_number": "202-494-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIES ORGANIZED FOR RENEWAL AND COMMUNITY EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "FULGHAM",
        "authorized_official_first_name": "ESONIJA",
        "authorized_official_middle_name": "SHAVON",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "202-494-6119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith-N-Action
• Alfredo Danas Fallorina I
• Glenn A. Familant, D.D.S.
• Families First Counseling Services, LLC
• Families First Counseling Services, LLC
• Family Care LLC (Family Care)
• Family Foot Care Centers, P.C. (Family Foot and Ankle Care)
• Family Foot Care Centers, P.C. (Family Foot and Ankle Care)
• Family Impact Home Healthcare, LLC
• Family in Focus Health PLLC

• Adult Mental Health Clinic/Center in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.