MRS. TANIKKA MASON


Address: 2002 Wakefield Ave, Petersburg, VA 23805-2112
Phone: 8047213306

MRS. TANIKKA MASON (NPI# 1659731131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659731131
Entity Type Individual
Full Name MRS. TANIKKA MASON
Credential LCSW
Practice Address 2002 Wakefield Ave
Petersburg
VA 23805-2112
Practice Telephone 8047213306
Practice Fax Number 8047331181
Mailing Telephone 8047213306
Mailing Fax Number 8047331181
Enumeration Date 2016-02-26
Last Update Date 2016-02-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA VIRGINIA 05

Office Location

Street Address 2002 WAKEFIELD AVE
City PETERSBURG
State VA
Zip Code 23805-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164526760 Chitra Pidaparti Psychologist 2002 Wakefield Ave, Petersburg, VA 23805-2112 2006-09-12
1285182246 Tanikka Mason Community/Behavioral Health 2002 Wakefield Ave, Petersburg, VA 23805-2112 2016-09-19
1326420571 Second Chances Youth Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2002 Wakefield Ave, Petersburg, VA 23805-2112 2015-06-24
1174957591 Second Chances Youth Services Community/Behavioral Health 2002 Wakefield Ave, Petersburg, VA 23805-2112 2013-08-22
1831420660 Second Chances Youth Services, LLC In Home Supportive Care 2002 Wakefield Ave, Petersburg, VA 23805-2112 2010-01-18
1306933932 Virginia Svidro Nelson Pediatrics 2002 Wakefield Ave, Petersburg, VA 23805-2112 2006-10-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134690647 Miles Viant Occupational Therapist 287 E Blvd, Petersburg, VA 23805 2018-12-10
1245756964 Dexter Shabazz Lett Registered Nurse 10543 S. Crater Rd, S. Prince George, VA 23805 2017-08-15
1891145876 Taylor Enhanced Living Counselor 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 2016-06-21
1700255205 Ina Thompson Counselor 272 Medical Park Boulevard, Petersburg, VA 23805 2015-09-15
1932582541 Valeria Edda Madrid Malo Bohorquez Internal Medicine 50 Medical Park Blvd Ste C, Petersburg, VA 23805 2015-06-30
1548642788 Justin Andrew Phillingane Podiatrist 3335 S Crater Rd Ste 500, Petersburg, VA 23805 2015-06-24
1225417082 Paladin Dermatology LLC Nurse Practitioner 44 A& B Medical Park Blvd, Petersburg, VA 23805 2015-05-27
1245652544 Family Services Inc. Health Maintenance Organization 1045 Gustavo Lane, Petersburg, VA 23805 2014-01-06
1619268075 Charlene Belangia Massage Therapist 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 2011-04-20
1760709638 Caresouth Hha Holdings of Virginia, LLC Home Health 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 2010-04-30
Find all providers in zip 23805

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336772532 Ascendance Center, LLC Social Worker 90 Ivy Ln, Petersburg, VA 23805-1367 2020-02-16
1952872269 Abbey Lynn Venturini Social Worker 323 W Rutledge St, Petersburg, IL 62675-1239 2018-12-12
1366857088 Amanda Lemiere Taylor Social Worker 201 N Nordic Dr, Petersburg, AK 99833 2014-06-23
1073936597 Stephanie Anita Banda Social Worker 202 Gjoa Street, Petersburg, AK 99833 2014-02-04
1760805212 Florise Dock Social Worker 20 W Bank St Ste 5, Petersburg, VA 23803-3279 2014-02-03
1659670206 Rene Martin Social Worker 350 Poplar Spring Hospital, Petersburg, VA 23860 2011-03-22
1366769150 Jacqueline M. Owens Social Worker 1200 W Washington St, Petersburg, VA 23803-3923 2010-05-03
1053599159 Carla Felicia Jones Social Worker 5923 Church Rd, Petersburg, VA 23803-4534 2008-01-31
1538348552 Tuula H Koraska Social Worker 6147 Duncan Rd, # E, Petersburg, VA 23803-7498 2007-10-26
1588793517 Marlene Franchini Kline Social Worker 204 Virginia Ave, Petersburg, WV 26847-1716 2007-03-05
Find all providers in PETERSBURG

Competitor

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City PETERSBURG
Zip Code 23805

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Dataset Information

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.

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