MR. JOHN JEFFREY WILLIS (NPI# 1174560189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174560189 |
| Entity Type | Individual |
| Full Name | MR. JOHN JEFFREY WILLIS |
| Credential | LCSW |
| Practice Address |
2305 N Parham Rd Suite 3 Richmond VA 23229-3156 |
| Practice Telephone | 8042701124 |
| Practice Fax Number | 8042702090 |
| Mailing Telephone | 8042701124 |
| Mailing Fax Number | 8042702090 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904002484 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922355155 | John Churchill Willis IIi | Internal Medicine | 823 Weeden Island Dr, Niceville, FL 32578-3724 | 2012-08-07 |
| 1700021425 | John Glen Willis | Counselor | 1030 Johnson Rd Ste 286, Golden, CO 80401-6003 | 2008-12-09 |
| 1215093018 | John M Willis | Dentist | 6 Fundy Rd, Falmouth, ME 04105-1705 | 2006-12-28 |
| 1205891207 | John M Willis | Internal Medicine | 2800 E Broad St Ste 512, Mansfield, TX 76063-6417 | 2006-04-20 |
| 1356310577 | John Curtis Willis | Chiropractor | 305 Allegheny St, Richlands, VA 24641 | 2006-03-17 |
| 1548253172 | John A Willis | Orthopaedic Surgery | 130 N Street Ext, Hyannis, MA 02601-3825 | 2005-08-30 |
| 1063952190 | John Willis | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2017-03-08 |
| 1205211208 | John Macphee Willis | Dentist | 160 E. Erie Ave, St. Christopher's Hospital for Children, Attn: Dental, Philadelphia, PA 19134 | 2015-07-21 |
| 1619393493 | John Willis | Pharmacist | 1401 Minnesota Ave, Libby, MT 59923-2309 | 2014-03-17 |
| 1356763791 | John Willis | Pharmacist | 6131 E Southern Ave, Mesa, AZ 85206-3732 | 2014-01-18 |
| Street Address |
2305 N PARHAM RD SUITE 3 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137894 | Michelle Lee Sullivan | Psychologist | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2005-07-08 |
| 1023256104 | Valerie D Acosta | Counselor | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2009-01-28 |
| 1750538658 | Shirley Sue Ferguson | Counselor | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2008-08-21 |
| 1356559819 | Kathryn Thomas Shoemaker | Social Worker | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2007-05-18 |
| 1013130004 | Armond B. Leake | Social Worker | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2007-04-10 |
| 1730209172 | Ashvin A Patel | Psychiatry & Neurology | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2007-03-30 |
| 1770608168 | Manish Soni | Psychiatry & Neurology | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2007-03-21 |
| 1316092703 | Thomas A. Burgess | Counselor | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2007-01-24 |
| 1801973805 | Jhansi Rani Mead | Psychiatry & Neurology | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2006-11-01 |
| 1508952904 | Ruta Ravindra Nene | Psychiatry & Neurology | 2305 N Parham Rd, Suite 3, Richmond, VA 23229-3156 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1023618311 | John Francis Feeney | Social Worker | 1108 E Main St Ste 900, Richmond, VA 23219-3522 | 2020-10-27 |
| 1891394839 | Amanda Firestone LLC | Social Worker | 2804 Griffin Ave, Richmond, VA 23222-3629 | 2020-10-21 |
| 1306443312 | Higgins Center for Healing, LLC | Social Worker | 3311 W Broad St # 212, Richmond, VA 23230-5000 | 2020-10-02 |
| 1902410400 | Libby Tofflemire | Social Worker | 601 Boroughbridge Rd, Richmond, VA 23225-6218 | 2020-09-02 |
| 1275146235 | Chelsea Barbara Hooker | Social Worker | 444 Kingstown Rd, Richmond, RI 02892-1105 | 2020-08-28 |
| 1649883232 | Silka Graciela Steele | Social Worker | 700 Everett St Apt 2135, Richmond, VA 23224-0015 | 2020-08-25 |
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1427668706 | Samantha Joan Coppola | Social Worker | 3220 Brook Rd Apt 203, Richmond, VA 23227-4850 | 2020-08-03 |
| 1053921395 | Rachelle Lee Butler | Social Worker | 2820 E Broad St Apt A, Richmond, VA 23223-7342 | 2020-08-02 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.