Commonwealth Catholic Charities

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904005775 Issued in VA

Legal business name

COMMONWEALTH CATHOLIC CHARITIES

Practice address

1512 Willow Lawn Dr
Richmond, VA 23230-3117

Phone

(804) 285-5900

Fax

(804) 285-9130

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Whiteside, LCSWNPI 1932269537

Title

Supervisor

Phone

(804) 545-5951

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Susan Whiteside, MSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1932269537
  NPD (past) Authorized official
• Carolyn Gorman Kerr, LCSW

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1780717298
  NPD (past)
• Kathleen S Levenston, L.C.S.W.

  • Social Worker
  • Midlothian, VA
  • NPI 1063486447
  NPD (past)
• Niki Mello, LCSW

  • Mental Health Counselor
  • Richmond, VA
  • NPI 1548291313
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912938200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WILLOW LAWN DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303117",
            "telephone_number": "804-285-5900",
            "fax_number": "804-285-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 WILLOW LAWN DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303117",
            "telephone_number": "804-285-5900",
            "fax_number": "804-285-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH CATHOLIC CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "804-545-5951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904005775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonshare, Inc
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• Commonwealth Cancer Institute
• Commonwealth Cardiology Associates LTD
• Commonwealth Catholic Charities
• Commonwealth Chiropractic and Acupuncture Center P C
• Commonwealth Clinical & Consulting Services
• Commonwealth Dental Anesthesia Associates PC
• Commonwealth Dermatology, PC
• Commonwealth Endodontics

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, 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 Aug 22, 2020; 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.