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LEGACY WELLNESS MENTAL HEALTH SERVICES LLC
NPI 1609765742
Social Worker - Clinical in Virginia Beach, VA

Active since July 02, 2025
1385 FORDHAM DR STE 105-138, VIRGINIA BEACH, VA 23464(757) 724-0351 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Wellness Mental Health Services Llc NPPES

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

LEGACY WELLNESS MENTAL HEALTH SERVICES LLC (NPI 1609765742) is a healthcare organization registered as a clinical in Virginia Beach, Virginia and active in the NPI registry since July 2025. The organization lists Kieshara A Matthews, Owner, as its authorized official.

NPPES Registry Identity

NPI1609765742
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLEGACY WELLNESS MENTAL HEALTH SERVICES LLC
Location Address1385 FORDHAM DR STE 105-138Virginia Beach, VA 23464-5345
Mailing Address1385 Fordham Dr Ste 105-138Virginia Beach, VA 23464-5345 · (757) 563-3378
Phone(757) 724-0351
Organization SubpartNo
Authorized OfficialKieshara A MatthewsOwner · (757) 724-0351
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1609765742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
1385 FORDHAM DR STE 105-138, Virginia Beach, VA 23464
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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

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 Legacy Wellness Mental Health Services LLC's NPI number?

The NPI number for Legacy Wellness Mental Health Services LLC is 1609765742. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Legacy Wellness Mental Health Services LLC located?

Legacy Wellness Mental Health Services LLC is located at 1385 Fordham Dr Ste 105-138, Virginia Beach, VA 23464. The listed phone number is (757) 724-0351.

What is Legacy Wellness Mental Health Services LLC'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 Legacy Wellness Mental Health Services LLC was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.