S. Washington, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

S. WASHINGTON, LLC

Practice address

3606 Boulevard Ste D
Colonial Heights, VA 23834-1341

Phone

(302) 593-3487

Fax

(804) 251-1416

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shardae Washington, LMFTNPI 1568865855

Title

Owner

Phone

(302) 593-3487

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Shardae Washington, LMFT

  • Marriage & Family Therapist
  • Richmond, VA
  • NPI 1568865855
  NPD Authorized official

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1992292627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3715",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238318468",
            "telephone_number": "302-593-3487",
            "fax_number": "804-251-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 BOULEVARD STE D",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341341",
            "telephone_number": "302-593-3487",
            "fax_number": "804-251-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. WASHINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "SHARDAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-593-3487",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568865855",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.