NPIMap

Organization Active NPI

District 19 Community Services Board

  • Public Health or Welfare Agency
  • Richmond, VA
National Provider Identifier
1679510226
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
0904002353 Issued in VA
Legal business name
DISTRICT 19 COMMUNITY SERVICES BOARD
Practice address
5012 Selwood Rd
Richmond, VA 23234-4246
Phone
(804) 862-8002
Fax
(804) 862-8060
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Ms. Teresa Wulf-Heller, LCSWNPI 1205151073
Title
Clinical Services Director
Phone
(804) 862-8002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0904002353 VA Primary

Addresses

Primary practice location

5012 Selwood Rd
Richmond, VA 23234-4246

Mailing address

5012 Selwood Rd
Richmond, VA 23234-4246
Phone (804) 275-6161

Other identifiers 4

IdentifierTypeStateIssuer
270506OtherVAANTHEM
R62892OtherVAINACTIVE
4945280MedicaidVA
086373OtherVASENTARA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1679510226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 SELWOOD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232344246",
            "telephone_number": "804-275-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 SELWOOD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232344246",
            "telephone_number": "804-862-8002",
            "fax_number": "804-862-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT 19 COMMUNITY SERVICES BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "WULF-HELLER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "804-862-8002",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "VA",
            "license": "0904002353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "270506",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INACTIVE",
            "identifier": "R62892",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945280",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "086373",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.