DISTRICT 19 COMMUNITY SERVICES BOARD
NPI 1669970646
Early Intervention Provider Agency in Petersburg, VA

Q: What is District 19 Community Services Board's NPI number?

The NPI number for District 19 Community Services Board is 1669970646. It was assigned to this organization in the NPPES registry on January 25, 2018.

Q: What is District 19 Community Services Board's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

Active since January 25, 2018CLIA 49D2156753 · Waiver

20 W BANK ST STE 5, PETERSBURG, VA 23803(804) 862-6082(804) 862-6158 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About District 19 Community Services Board NPPES

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

DISTRICT 19 COMMUNITY SERVICES BOARD (NPI 1669970646) is a healthcare organization registered as an early intervention provider agency in Petersburg, Virginia and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Lisa A Newby, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1669970646

Entity TypeOrganization

Primary Taxonomy252Y00000X

Legal Business NameDISTRICT 19 COMMUNITY SERVICES BOARD

Location Address20 W BANK ST STE 5Petersburg, VA 23803-3279

Mailing Address20 W Bank St Ste 7Petersburg, VA 23803-3279 · (804) 862-6082 · Fax (804) 862-6158

Phone(804) 862-6082

Fax(804) 862-6158

Organization SubpartNo

Authorized OfficialLisa A NewbyExecutive Assistant · (804) 862-6082

Enumeration DateJanuary 25, 2018

✔ NPI 1669970646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEarly Intervention Provider AgencyAgencies

Taxonomy Code252Y00000X

License✔ Licensed in VA · 184

Definition

Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children's needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development.

20 W BANK ST STE 5, Petersburg, VA 23803

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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 49D2156753

District 19 Community Services Board · Petersburg, VA

Active · expires Oct 23, 2026

CLIA Number49D2156753

Laboratory TypeOutpatient Clinic At Csb

Certificate Effective DateOctober 24, 2024

Certificate Expiration DateOctober 23, 2026

Laboratory DirectorLetitia Wallace

Laboratory Phone(804) 862-6082

Laboratory LocationDistrict 19 Community Services Board20 W Bank Street, Petersburg, VA 23803

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LATOYA HOSPEDALES

Counselor (Professional)

20 W BANK ST STE 5
PETERSBURG, VA 23803

Dinwiddie County (804) 862-8002

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 District 19 Community Services Board's NPI number?

The NPI number for District 19 Community Services Board is 1669970646. It was assigned to this organization in the NPPES registry on January 25, 2018.

Where is District 19 Community Services Board located?

District 19 Community Services Board is located at 20 W Bank St Ste 5, Petersburg, VA 23803. The listed phone number is (804) 862-6082.

What is District 19 Community Services Board's specialty?

The primary specialty registered for this NPI is Early Intervention Provider Agency with taxonomy code 252Y00000X.

Does District 19 Community Services Board hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2156753) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for District 19 Community Services Board was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.