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CHESTERFIELD COMMUNITY SERVICES BOARD - ICF PINE FOREST
NPI 1033397542
Intermediate Care Facility, Intellectual Disabilities in Chesterfield, VA

Active since February 06, 2008CLIA 49D1093235 · Waiver
6801 LUCY CORR CT, CHESTERFIELD, VA 23832(804) 748-1227(804) 717-6659 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chesterfield Community Services Board - Icf Pine Forest NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHESTERFIELD COMMUNITY SERVICES BOARD - ICF PINE FOREST (NPI 1033397542) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Chesterfield, Virginia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through February 1, 2027 and lists Kelly Fried, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1033397542
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameCHESTERFIELD COMMUNITY SERVICES BOARD - ICF PINE FOREST
Location Address6801 LUCY CORR CTChesterfield, VA 23832-6657
Mailing Address6801 Lucy Corr CtChesterfield, VA 23832-6657 · (804) 748-1227 · Fax (804) 717-6659
Phone(804) 748-1227
Fax(804) 717-6659
Organization SubpartNo
Authorized OfficialKelly FriedExecutive Director · (804) 768-7227
Enumeration DateFebruary 6, 2008
Last NPPES UpdateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1033397542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in VA · 222-17-001
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
6801 LUCY CORR CT, Chesterfield, VA 23832
Open in Google Maps ↗

Other Identifiers 1

MedicaidPENDINGVA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1093235

Chesterfield Community Services Board · Chesterfield, VA
Active · expires Feb 1, 2027
CLIA Number49D1093235
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorKelly Fried
Laboratory Phone(804) 748-1227
Laboratory LocationChesterfield Community Services Board6801 Lucy Corr Boulevard, Chesterfield, VA 23832
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBRA M STRICKLAND O.T.
Occupational Therapist (Pediatrics)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227
MR. JOEL A IMBURG L.C.S.W.
Social Worker (Clinical)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227
LAURA FUENTES S.L.P.
Speech-Language Pathologist
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227
MICHELLE BONNER TURNER RN
Registered Nurse (Community Health)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 943-7254
DR. JOAN PLOTKIN HAN M.D.
Psychiatry & Neurology (Psychiatry)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227
DR. ASHA S MISHRA M.D.
Psychiatry & Neurology (Psychiatry)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227
AMANDA MCWHITE LCSW
Social Worker (Clinical)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227
MR. LAWRENCE V BARNETT L.P.C.
Counselor (Professional)
6801 LUCY CORR CT
CHESTERFIELD, VA 23832
Chesterfield County (804) 748-1227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chesterfield Community Services Board - Icf Pine Forest's NPI number?

The NPI number for Chesterfield Community Services Board - Icf Pine Forest is 1033397542. It was assigned to this organization in the NPPES registry on February 6, 2008.

Where is Chesterfield Community Services Board - Icf Pine Forest located?

Chesterfield Community Services Board - Icf Pine Forest is located at 6801 Lucy Corr Ct, Chesterfield, VA 23832. The listed phone number is (804) 748-1227.

What is Chesterfield Community Services Board - Icf Pine Forest's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Chesterfield Community Services Board - Icf Pine Forest hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1093235) is associated with this NPI, valid through February 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chesterfield Community Services Board - Icf Pine Forest was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.