Psychotherapy Associates of Virginia LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PSYCHOTHERAPY ASSOCIATES OF VIRGINIA LLC

Practice address

232 Woodland Dr
Franklin, VA 23851-2339

Phone

(757) 237-9377

Fax

(800) 721-9807

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Dorothy B Panissidi, LCSW

Title

Owner

Phone

(757) 237-9377

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1871219170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 WOODLAND DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512339",
            "telephone_number": "757-237-9377",
            "fax_number": "800-721-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 WOODLAND DR",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238512339",
            "telephone_number": "757-237-9377",
            "fax_number": "800-721-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "PANISSIDI",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-237-9377",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Myclientsplus",
            "affiliation": "N",
            "endpointDescription": "OFFICE SERVER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "practice software",
            "address_1": "232 Woodland Dr",
            "city": "Franklin",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238512339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Franklin, VA
• Providers in Franklin, 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 Oct 18, 2022; 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.