Willow Chase Counseling Associates, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WILLOW CHASE COUNSELING ASSOCIATES, LLC

Practice address

10100 Iron Bridge Rd
Chesterfield, VA 23832-6507

Phone

(804) 789-1224

NPI assigned

Aug 9, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie McNamara

Title

Credentialing Manager

Phone

(804) 789-1224

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1942810437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8249 CROWN COLONY PKWY STE 202",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 IRON BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326507",
            "telephone_number": "804-789-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW CHASE COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-09",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "804-789-1224"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIALING",
            "identifier": "8042212042",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jacobrheaume@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8249 Crown Colony Pkwy Ste 202",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231164057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Anthony Wilkins
• Charla Dianne Williams, LPN
• Janet Paisley Williams, RN
• Piclola Melesia Williams, NP
• Andrea Frances Willis, CORA/L
• Joeleathia Dobbins Wilson, LCSW, CSOTP
• Yunique Carrington Wilson, FNP-C
• James Scott Windle, LPTA
• Kristie Winkler, LCSW
• Darren Samuel Witte, MD

• Clinical Social Worker in Chesterfield, VA
• Providers in Chesterfield, 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 Nov 10, 2021; 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.