Wonderfully Made Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WONDERFULLY MADE SERVICES LLC

Practice address

12 Braemar Dr
Hampton, VA 23669-3706

Phone

(757) 344-6210

Fax

(855) 612-7072

NPI assigned

Apr 20, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Stephens-Smith, LCSW, CSACNPI 1275991853

Title

Owner

Phone

(757) 344-6210

Specialties & licenses 1

Addresses

Other names 1

• Wonderfully Made Services Doing business as

Locations

Practitioners 1

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

• Diane Stephens-Smith, LCSW, CSAC

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1275991853

  Non-Emergency Medical Transport (Van)

  NPD Authorized official

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1730533340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9364",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236700364",
            "telephone_number": "747-344-6210",
            "fax_number": "855-612-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BRAEMAR DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236693706",
            "telephone_number": "757-344-6210",
            "fax_number": "855-612-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONDERFULLY MADE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS-SMITH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-344-6210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wonderfully Made Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Keith Woisard, MD
• Tirsit Retta Woldeyohanes
• Jazmin Angel Wolfe
• Michaela Olivia Womack
• Womb & Moon Doula Care
• Jihee Woo, D.D.S
• Symone Wood
• Marvin Woodard
• Joshua Thomas Woodruff
• Eduvigis Woods, LMSW

• Community/Behavioral Health Agency in Hampton, VA
• Providers in Hampton, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.