HOUSE OF REFUGE
NPI 1124255260
Social Worker - Clinical in Chesapeake, VA

NPI Status: Active since June 16, 2009

Contact Information

805 SHADOWBERRY CRST
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 560-1944
Fax: (877) 468-5361

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  • Organization
  • Social Worker
  • Clinical

About HOUSE OF REFUGE

This page provides the complete NPI Profile along with additional information for House Of Refuge, a provider established in Chesapeake, Virginia operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1124255260 assigned on June 2009. The practitioner's primary taxonomy code is 1041C0700X with license number 0904006954 (VA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is House Of Refuge. The authorized official of this NPI record is Teisha Etheridge Bs (Program Director)

NPI
1124255260
Provider Legal Name
HOUSE OF REFUGE RESTORATION, LLC
Other Organization Name
HOUSE OF REFUGE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
805 SHADOWBERRY CRST CHESAPEAKE, VA 23320
Location Phone
(757) 560-1944
Location Fax
(877) 468-5361
Mailing Address
805 SHADOWBERRY CRST CHESAPEAKE, VA 23320
Mailing Phone
(757) 560-1944
Mailing Fax
(877) 468-5361
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2009
Last Update Date
06-16-2009
Code Navigator

A clinical social worker like House Of Refuge is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
0904006954
License State
VA
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

0812000532 (VA)
2101Y00000XBehavioral Health & Social Service Providers

Counselor

0710102115 (VA)
3101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

0710102115 (VA)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TEISHA ETHERIDGE BS

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(757) 560-1944

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========MEDICAID (05)VA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124255260, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 5 + 1 + 0 + 2 + 1 + 2 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124255260.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
805 SHADOWBERRY CRST
CHESAPEAKE, VA 23320

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124255260, enumerated as an "organization" on June 16, 2009.

The provider is located at 805 SHADOWBERRY CRST CHESAPEAKE, VA 23320 and the phone number is (757) 560-1944.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.