COMMUNITY WELLNESS VENTURES, LLC (NPI# 1275903700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275903700 |
| Entity Type | Organization |
| Organization Name | COMMUNITY WELLNESS VENTURES, LLC |
| Practice Address |
1130 Varney St Se Washington DC 20032 |
| Mailing Address |
1130 Varney St Se Washington DC 20032-4372 |
| Practice Telephone | 2025529104 |
| Practice Fax Number | 2024505822 |
| Mailing Telephone | 2025529104 |
| Mailing Fax Number | 2024505822 |
| Enumeration Date | 2015-09-27 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | MR. ROD WILLIAMS (CEO) |
| Authorized Official Telephone | 2025529104 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | LG100230 | DC | Residential Treatment Facilities |
| Y | 251S00000X | Community/Behavioral Health | MD13456 | DC | Agencies |
| Street Address |
1130 VARNEY ST SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013528181 | Kameka Barnes | Counselor | 1130 Varney St Se, Washington, DC 20032-4372 | 2020-08-12 |
| 1881216869 | Aunjrealisha Williams | Social Worker | 1130 Varney St Se, Washington, DC 20032-4372 | 2020-05-12 |
| 1427682947 | Lewis Everett Smith | Counselor | 1130 Varney St Se, Washington, DC 20032-4372 | 2020-02-24 |
| 1639711666 | Oluwafeyisina Faniyi | Social Worker | 1130 Varney St Se, Washington, DC 20032-4372 | 2019-10-10 |
| 1992287270 | Tennille Harris | Counselor | 1130 Varney St Se, Washington, DC 20032-4372 | 2018-09-03 |
| 1982180444 | Charlayne Hayling-williams | Counselor | 1130 Varney St Se, Washington, DC 20032-4372 | 2018-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1619588522 | Royal Healthcare LLC | Community/Behavioral Health | 3502 18th St Ne # 2, Washington, DC 20018-2738 | 2020-08-13 |
| 1669098802 | Kairos Behavioral Healthcare | Community/Behavioral Health | 3106 Pennsylvania Ave Se, Washington, DC 20020-3710 | 2020-06-23 |
| 1255956603 | Lynz Consulting LLC | Community/Behavioral Health | 2310 Ashmead Pl Nw Apt 307, Washington, DC 20009-1432 | 2020-06-11 |
| 1801423314 | Wise Human Services | Community/Behavioral Health | 126 Belvidere Ave, Washington, NJ 07882-1417 | 2020-03-25 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1033757232 | District of Columbia Recovery Community Alliance Inc | Community/Behavioral Health | 5656a 3rd St Ne, Washington, DC 20011-2532 | 2019-12-18 |
| 1043851868 | J. Francis Black LLC | Community/Behavioral Health | 3000 Connecticut Ave Nw Ste 137, Washington, DC 20008-2549 | 2019-10-02 |
| 1689222804 | Samantha Morrell LLC | Community/Behavioral Health | 1724 20th St Nw Ste 202, Washington, DC 20009-1355 | 2019-08-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20032 |
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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.