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TIDEWATER RECOVERY, PLC
NPI 1396001855
Social Worker - Clinical in Urbanna, VA

Active since April 09, 2012
55 CROSS STREET, URBANNA, VA 23175(804) 758-4242(615) 704-7447 Get Directions Write a Review

NPPES record last updated: April 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tidewater Recovery, Plc NPPES

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

TIDEWATER RECOVERY, PLC (NPI 1396001855) is a healthcare organization registered as a clinical in Urbanna, Virginia and active in the NPI registry since April 2012. The organization lists Susan G Hallett, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1396001855
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTIDEWATER RECOVERY, PLC
Location Address55 CROSS STREETUrbanna, VA 23175
Mailing AddressPo Box 1042, 55 Cross StreetUrbanna, VA 23175-1042 · (804) 758-4242 · Fax (615) 704-7447
Phone(804) 758-4242
Fax(615) 704-7447
Organization SubpartNo
Authorized OfficialSusan G HallettOwner/therapist · (804) 758-4242
Enumeration DateApril 9, 2012
✔ NPI 1396001855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904005105
Definition
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.
55 CROSS STREET, Urbanna, VA 23175
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Other Identifiers 1

Other1205910460VA · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Tidewater Recovery, Plc's NPI number?

The NPI number for Tidewater Recovery, Plc is 1396001855. It was assigned to this organization in the NPPES registry on April 9, 2012.

Where is Tidewater Recovery, Plc located?

Tidewater Recovery, Plc is located at 55 Cross Street, Urbanna, VA 23175. The listed phone number is (804) 758-4242.

What is Tidewater Recovery, Plc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tidewater Recovery, Plc was last updated on April 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.