Brandycreek Family Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BRANDYCREEK FAMILY COUNSELING LLC

Practice address

6501 Mechanicsville Tpke Ste G3
Mechanicsvlle, VA 23111-3698

Phone

(804) 417-6525

Fax

(804) 299-4727

NPI assigned

Jul 6, 2022

Last updated

Jul 6, 2022By 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

Kathryn Webb, LCSW, MSWNPI 1326449851

Title

President

Phone

(804) 417-6525

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Kathryn Jean Webb, LCSW, CAS

  • Clinical Social Worker
  • Mechanicsville, VA
  • NPI 1326449851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1801529946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7416 WASHINGTON ARCH DR",
            "city": "MECHANICSVLLE",
            "state": "VA",
            "postal_code": "231114732",
            "telephone_number": "804-417-6525",
            "fax_number": "804-299-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 MECHANICSVILLE TPKE STE G3",
            "city": "MECHANICSVLLE",
            "state": "VA",
            "postal_code": "231113698",
            "telephone_number": "804-417-6525",
            "fax_number": "804-299-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYCREEK FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-417-6525",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326449851",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samiyah Jamillah Anderson
• BTJS Management
• Rachel Francesca Ferguson
• Megan Elizabeth Melocco
• Margaret Rzasa, LCSW
• Laurin Sunshine, DPT

• Clinical Social Worker in Mechanicsvlle, VA
• Providers in Mechanicsvlle, 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 Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.