D Thomas Tipp LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904000857 Issued in VA

Legal business name

D THOMAS TIPP LCSW

Practice address

9511 Hull Street Road
Midlothian, VA 23112-3407

Phone

(804) 339-7553

Fax

(804) 745-4742

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David Thomas Tipp, LCSWNPI 1053340224

Title

Owner

Phone

(804) 339-7553

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.

• David T Tipp, LCSW, LLC

  • Social Worker
  • N. Chesterfield, VA
  • NPI 1053340224
  NPD (past) Authorized official

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1811310261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 HULL STREET RD STE B1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232362600",
            "telephone_number": "804-339-7553",
            "fax_number": "804-745-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 HULL STREET ROAD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123407",
            "telephone_number": "804-339-7553",
            "fax_number": "804-745-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D THOMAS TIPP LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "TIPP",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-339-7553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904000857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Mason Curtis, ED.D.
• Elese Cury, BEHAVIOR TECHNICIAN
• Shannon E Cusack, PHD
• Susan Custer
• Jeffrey E. Cyr, D.D.S.
• Kenneth Karlus D'Souza, D.C.
• Charles William Dabney, D.D.S.
• Amenah Dailey, PA-C
• Aimee Dalton
• Lori Campbell Dalton, LCSW

• Mental Health Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.