Provider Demographics
NPI:1083463285
Name:NEIGHBORHOOD SOCIAL WORKER, PLLC
Entity type:Organization
Organization Name:NEIGHBORHOOD SOCIAL WORKER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARJANE
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-386-5885
Mailing Address - Street 1:1021 CARLISLE AVE APT 225
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23231-3336
Mailing Address - Country:US
Mailing Address - Phone:757-386-5885
Mailing Address - Fax:
Practice Address - Street 1:1021 CARLISLE AVE APT 225
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23231-3336
Practice Address - Country:US
Practice Address - Phone:757-386-5885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-18
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health