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OTL COMMUNITY SERVICES NPI 1679871784


NPI Information

NPI: 1679871784
Provider Name: OTL COMMUNITY SERVICES

Doing Business As: GOOD NEIGHBOR OUTPATIENT SERVICES, INC.

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
9201 ARBORETUM PKWY STE 300
NORTH CHESTERFIELD, VA
ZIP 23236
Phone: (855) 355-7001
Get Directions

OTL COMMUNITY SERVICES is a clinical social worker in North Chesterfield, VA. The provider is 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. OTL COMMUNITY SERVICES NPI is 1679871784. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Neighbor Outpatient Services, Inc..

The provider's business location address is:

9201 ARBORETUM PKWY STE 300
NORTH CHESTERFIELD, VA
ZIP 23236-407
Phone: (855) 355-7001
Fax: (804) 251-0989

The provider's authorized official is Hailey Mazzei .
The authorized official title is Program Director and has the following contact phone number (804) 520-4600.

The enumeration date for this NPI number is 3/14/2011 and was last updated on 5/24/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251S00000XCommunity/Behavioral Health748-07-004VIRGINIANo
21041C0700XSocial WorkerClinical748-07-004VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1748-07-004OTHERVIRGINIADBHDS
2748-07-004MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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