Hampton Roads Behavioral Health & Wellness LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HAMPTON ROADS BEHAVIORAL HEALTH & WELLNESS LLC

Practice address

3505 Shoreline Dr
Portsmouth, VA 23703-4031

Phone

(252) 340-1928

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Renee HannahNPI 1548594286

Title

Owner

Phone

(252) 340-1928

Specialties & licenses 1

Addresses

Practitioners 1

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

• Renee' Stewart Hannah, LCSW

  • Clinical Social Worker
  • Bailey, NC
  • NPI 1548594286
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1689343998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 SHORELINE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 SHORELINE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034031",
            "telephone_number": "252-340-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-340-1928"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Hamilton, M.S.
• Kayla Hamilton, P.T.
• Titus Hamlett, PH.D.
• James Earl Hammond, DO, ATC
• Hampton Road Family Service Inc.
• Hampton Roads Community Health Center
• Hampton Roads Community Health Center
• Hampton Roads Family Dental Portmouth LLC
• Hampton Roads Hospitalist Group
• Hampton Roads Institute for Performance & Sports Medicine PLC

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, 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 Sep 28, 2021; 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.