Individual provider Active NPI

Tiana Patterson

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1982438016
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015063 Issued in VA
Practice address
2505 Pocoshock PL Ste 201
North Chesterfield, VA 23235-6356
Phone
(804) 271-0860
Fax
(804) 716-4328
NPI assigned
Aug 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015063 VA Primary

Addresses

Primary practice location

2505 Pocoshock PL Ste 201
North Chesterfield, VA 23235-6356

Mailing address

2505 Pocoshock PL Ste 201
North Chesterfield, VA 23235-6356
Phone (804) 271-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904015063VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Youth & Family Services, LLC Current Accepting new patients

Locations

2505 Pocoshock Pl
Ste 201
North Chesterfield, VA 23235
Phone (804) 271-0860

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1982438016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 POCOSHOCK PL STE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356356",
            "telephone_number": "804-271-0860",
            "fax_number": "804-716-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 POCOSHOCK PL STE 201",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356356",
            "telephone_number": "804-271-0860",
            "fax_number": "804-716-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.