BRENDA INGRAM DANDRIDGE (NPI# 1255475422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255475422 |
| Entity Type | Individual |
| Full Name | BRENDA INGRAM DANDRIDGE |
| Credential | LCSW |
| Practice Address |
4825 S Laburnum Ave Richmond VA 23231-2713 |
| Mailing Address |
10299 Woodman Rd Glen Allen VA 23060-4419 |
| Practice Telephone | 8042222607 |
| Practice Fax Number | 8042369118 |
| Mailing Telephone | 8047278500 |
| Mailing Fax Number | 8047278580 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904002775 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PREMIER | 4945131 | 01 |
| VA | ANTHEM | 256538 | 01 |
| VA | SENTARA | 085717 | 01 |
| VA | MAGELLAN | 263146-000 | 01 |
| VA | MAMSI | 2169321 | 01 |
| VA | ANTHEM | 110295 | 01 |
| Street Address |
4825 S LABURNUM AVE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23231-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568864189 | Mirjam Bryan | Physician Assistant | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2014-09-26 |
| 1467790618 | Lindsay A Snead | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2013-01-23 |
| 1699096057 | Shannon Coughlin Garrett | Nurse Practitioner | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2010-06-18 |
| 1750522371 | Anne Blair Caldwell | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2009-03-11 |
| 1528259181 | Alexia Jeanine Gerczak | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-08-07 |
| 1316155328 | Annamaria Zita Moldovan | Psychiatry & Neurology | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-05-21 |
| 1487786547 | Edward Gilmour Hayes | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-03-12 |
| 1114054467 | Michael W. Nielsen | Social Worker | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
| 1366579609 | Rebecca Smith Mccracken | Psychologist | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-27 |
| 1447394184 | Pamela June Gardner-davis | Registered Nurse | 4825 S Laburnum Ave, Richmond, VA 23231-2713 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524766 | Latoya Steward | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 805 Admiral Gravely Blvd, Richmond, VA 23231 | 2020-10-07 |
| 1548721160 | Ray E Hill Jr. | Non-emergency Medical Transport (VAN) | 9469 Barrett Pl, Richmond, VA 23231 | 2019-03-27 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1225371743 | Vantage Point Community Supports, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8005 Diamond Ridge Court, Henrico, VA 23231 | 2013-04-03 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1407050982 | Tawana Toneke Olds-davis | Counselor | 4305 Hillbrook Ave, Richmond, VA 23231 | 2007-06-11 |
| 1891814844 | East End Pediatrics, P.C. | Pediatrics | 4744 Finlay Street, Richmond, VA 23231 | 2007-03-29 |
| 1235229113 | Aunt Anns Home for Adolescents | Counselor | 5901 Almond Creek N Lane, Richmond, VA 23231 | 2006-10-13 |
| 1962500421 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 | 2006-09-20 |
| 1043243546 | Bon Secours-virginia Healthsource | Family Medicine | 4835 S Laburnum Ave, Richmond, VA 23231 | 2006-07-08 |
| Find all providers in zip 23231 | ||||
| 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.