Organization Active NPI

Woodard Healing Center, LLC

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1962086348
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WOODARD HEALING CENTER, LLC
Practice address
1117 Old Colony LN Ste a
Williamsburg, VA 23185-3801
Phone
(757) 204-9528
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Philisha Woodard, LCSWNPI 1023601812
Title
Owner
Phone
(804) 824-8237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1117 Old Colony LN Ste a
Williamsburg, VA 23185-3801

Mailing address

1117 Old Colony LN Ste a
Williamsburg, VA 23185-3801
Phone (757) 204-9528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240922000091 VA Part B Supplier - Clinic/Group Practice 4789125485 Receives reassigned benefits from 1 practitioner
Practice locations: Williamsburg, VA

National Provider Directory

National Provider Directory

Locations

800 E Rochambeau Dr
Ste F203
Williamsburg, VA 23188

1117 Old Colony Ln
#A
Williamsburg, VA 23185
Phone (757) 204-5928

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1962086348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 OLD COLONY LN STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853801",
            "telephone_number": "757-204-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 OLD COLONY LN STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853801",
            "telephone_number": "757-204-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODARD HEALING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "PHILISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-824-8237",
        "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": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.