The Destin Group LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE DESTIN GROUP LLC

Practice address

8819 Peeble Beach Court
Chesterfield, VA 23832-2667

Phone

(804) 381-8337

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Tamara Michell Williams

Title

Credential

Phone

(804) 503-4634

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1649838525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 CHATTANOOGA PLZ # 208",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124865",
            "telephone_number": "804-381-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 PEEBLE BEACH COURT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322667",
            "telephone_number": "804-381-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DESTIN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "MICHELL",
        "authorized_official_title_or_position": "CREDENTIAL",
        "authorized_official_telephone_number": "804-503-4634"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601208245",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Chesterfield, VA
• Providers in Chesterfield, 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 Jun 5, 2019; 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.