Building Lives in Unison, Inc
Organization Active NPI Clinical Social Worker · Norfolk, VA
NPI 1831721166 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1831721166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- BUILDING LIVES IN UNISON, INC
- Practice address
- 2121B Keller Ave
Norfolk, VA 23504-3106 - Phone
- (757) 679-2583
- NPI assigned
- Feb 5, 2020
- Organization subpart
- No
Authorized official
- Name
- Phillip Maurice Riddick, LCSW
- Title
- President
- Phone
- (757) 679-2583
Practitioners 2
-
Sharifa Sekai McKain, LCSW
-
Phillip Riddick, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201118001025 | VA | Part B Supplier - Clinic/Group Practice | 0840601191 |
Receives reassigned benefits from 2 practitioners Practice locations: Norfolk, VA |
National Provider Directory
Locations
2655 Tidewater Dr
Unit 7644
Norfolk, VA 23509
Phone (757) 301-1314
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | Yes |
Addresses
Primary practice location
2121B Keller Ave
Norfolk, VA 23504-3106
Mailing address
2655 Tidewater Dr Unit 7644
Norfolk, VA 23509-1294
Other practice location 1
2655 Tidewater Dr Unit 7644
Norfolk, VA 23509-1294
Phone (757) 301-1314
Other names
- B.L.U. Heals
Other providers in Norfolk, VA
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- Aleksandra Bulaeva
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All providers in Norfolk, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.