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PROVIDENCE PSYCHOLOGICAL SERVICES INC
NPI 1487090429
Social Worker - Clinical in Suffolk, VA

Active since May 17, 2013
129 N SARATOGA ST, STE 1, SUFFOLK, VA 23434(757) 539-5353(757) 539-5399 Get Directions Write a Review

NPPES record last updated: May 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Providence Psychological Services Inc NPPES

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

PROVIDENCE PSYCHOLOGICAL SERVICES INC (NPI 1487090429) is a healthcare organization registered as a clinical in Suffolk, Virginia and active in the NPI registry since May 2013. The organization lists Kawanna Evette Ward, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487090429
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePROVIDENCE PSYCHOLOGICAL SERVICES INC
Location Address129 N SARATOGA ST, STE 1Suffolk, VA 23434-5255
Mailing Address129 N Saratoga St, Ste 1Suffolk, VA 23434-5255 · (757) 539-5353 · Fax (757) 539-5399
Phone(757) 539-5353
Fax(757) 539-5399
Organization SubpartNo
Authorized OfficialKawanna Evette WardCeo · (757) 535-7839
Enumeration DateMay 17, 2013
✔ NPI 1487090429 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 · 09040007534
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.
129 N SARATOGA ST, Suffolk, VA 23434
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. KATHRYN GWALTNEY NICHOLAS LPC
Counselor (Professional)
129 N SARATOGA ST, SUITE 1
SUFFOLK, VA 23434
Suffolk City (757) 539-5353

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 Providence Psychological Services Inc's NPI number?

The NPI number for Providence Psychological Services Inc is 1487090429. It was assigned to this organization in the NPPES registry on May 17, 2013.

Where is Providence Psychological Services Inc located?

Providence Psychological Services Inc is located at 129 N Saratoga St Ste 1, Suffolk, VA 23434. The listed phone number is (757) 539-5353.

What is Providence Psychological Services Inc'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 Providence Psychological Services Inc was last updated on May 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.