TIDEWATER PSYCHOTHERAPY SERVICES
NPI 1700830742
Social Worker in Virginia Beach, VA
NPI Status: Active since May 22, 2006
Contact Information
260 GRAYSON RD
SUITE 100
VIRGINIA BEACH, VA
ZIP 23462
Phone: (757) 497-3670
Fax: (757) 499-1947
- Organization
- Social Worker
- CLIA Number: 49D1011231
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-02-2027
About TIDEWATER PSYCHOTHERAPY SERVICES
This page provides the complete NPI Profile along with additional information for Tidewater Psychotherapy Services, a provider established in Virginia Beach, Virginia operating as a Social Worker. The healthcare provider is registered in the NPI registry with number 1700830742 assigned on May 2006. The practitioner's primary taxonomy code is 104100000X with license number 2006112732R (VA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Tidewater Psychotherapy Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Louise Friedman Lcsw (President, Authorizaed Offical)
- NPI
- 1700830742
- Provider Name
- TIDEWATER PSYCHOTHERAPY SERVICES
- Entity Type
- Organization
- Location Address
- 260 GRAYSON RD SUITE 100 VIRGINIA BEACH, VA 23462
- Location Phone
- (757) 497-3670
- Location Fax
- (757) 499-1947
- Mailing Address
- 260 GRAYSON RD SUITE 100 VIRGINIA BEACH, VA 23462
- Mailing Phone
- (757) 497-3670
- Mailing Fax
- (757) 499-1947
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-22-2006
- Last Update Date
- 08-21-2017
- Code Navigator
A social worker like Tidewater Psychotherapy Services helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.
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
- Taxonomy Code
- 104100000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2006112732R
- License State
- VA
- Taxonomy Description
- A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
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) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 204 (VA) |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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.
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 |
|---|---|---|---|
| 1700830742 | MEDICAID (05) | VA | |
| CO1311 | MEDICARE PIN (08) | ||
| CO1311 | MEDICARE UPIN (02) | VA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D1011231
- Facility Type
- Physician Office
- Certificate Effective Date
- April 03, 2025
- Certificate Expiration Date
- April 02, 2027
- Laboratory Director
- STEVEN G. CUNNINGHAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tidewater Psychotherapy Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1700830742, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
VIRGINIA BEACH, VA 23462
VIRGINIA BEACH, VA 23462
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700830742, enumerated as an "organization" on May 22, 2006.
The provider is located at 260 GRAYSON RD SUITE 100 VIRGINIA BEACH, VA 23462 and the phone number is (757) 497-3670.
Social Worker with taxonomy code 104100000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
