STRANGE FRUIT PSYCHOTHERAPY LLC
NPI 1932816048
Social Worker - Clinical in Hampton, VA

Active since October 31, 2022
1204 E PEMBROKE AVE, HAMPTON, VA 23669(757) 240-7928 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Strange Fruit Psychotherapy Llc NPPES

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

STRANGE FRUIT PSYCHOTHERAPY LLC (NPI 1932816048), doing business as Strange Fruit Psychotherapy, is a healthcare organization registered as a clinical in Hampton, Virginia and active in the NPI registry since October 2022. The organization lists Shervonne Evette Banks, Licensed Clinical Social Worker, as its authorized official.

NPPES Registry Identity

NPI1932816048
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSTRANGE FRUIT PSYCHOTHERAPY LLC
Location Address1204 E PEMBROKE AVEHampton, VA 23669-3226
Mailing Address110 Coliseum XingHampton, VA 23666-5971 · (757) 240-7928
Organization SubpartNo
Authorized OfficialShervonne Evette BanksLicensed Clinical Social Worker · (757) 240-7928
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 30, 2022
NPI 1932816048 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.
1204 E PEMBROKE AVE, Hampton, VA 23669

Other Names 1

Doing Business AsStrange Fruit Psychotherapy

Other Identifiers 1

Medicaid1033398003VA

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 2

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

Chiropractor
1204 E PEMBROKE AVE
HAMPTON, VA 23669
Chiropractor
1204 E PEMBROKE AVE
HAMPTON, VA 23669

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 Strange Fruit Psychotherapy LLC's NPI number?

The NPI number for Strange Fruit Psychotherapy LLC is 1932816048. It was assigned to this organization in the NPPES registry on October 31, 2022. The provider is doing business as Strange Fruit Psychotherapy.

Where is Strange Fruit Psychotherapy LLC located?

Strange Fruit Psychotherapy LLC is located at 1204 E Pembroke Ave, Hampton, VA 23669. The listed phone number is (757) 240-7928.

What is Strange Fruit Psychotherapy 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 Strange Fruit Psychotherapy LLC was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.