NPIMap

Organization Active NPI

Hampton Roads Trauma and Recovery Treatment Center LLC

Doing business as Painted Bird Psychotherapy LLC

  • Clinical Social Worker
  • Gloucester, VA
National Provider Identifier
1982219044
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HAMPTON ROADS TRAUMA AND RECOVERY TREATMENT CENTER LLC
Doing business as
Painted Bird Psychotherapy LLC
Practice address
4303 Cappahosic Rd
Gloucester, VA 23061-3300
Phone
(757) 524-2124
NPI assigned
Sep 14, 2020
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Desiree Devonne Smith, LCSWNPI 1033725239
Title
Owner
Phone
(757) 532-5321

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4303 Cappahosic Rd
Gloucester, VA 23061-3300

Mailing address

4303 Cappahosic Rd
Gloucester, VA 23061-3300
Phone (804) 213-2674

Other practice location 1

13441 Warwick Blvd
BLDG 2
Newport News, VA 23602
Phone (804) 213-2674

Other names 3

  • Painted Bird Psychotherapy LLC Doing business as
  • Hampton Roads Trauma and Recovery Treatment Center LLC Former legal business name
  • Hazel Gray Foundation Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1982219044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 CAPPAHOSIC RD",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613300",
            "telephone_number": "804-213-2674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 CAPPAHOSIC RD",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230613300",
            "telephone_number": "757-524-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13441 Warwick Blvd",
            "address_2": "BLDG 2",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "23602",
            "country_code": "US",
            "telephone_number": "804-213-2674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMPTON ROADS TRAUMA AND RECOVERY TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "DEVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-532-5321",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Painted Bird Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hampton Roads Trauma and Recovery Treatment Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hazel Gray Foundation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.