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Tidewater Mobile Medicine, Pllc
Non-emergency Medical Transport (VAN) in Portsmouth, Virginia
NPI 1225527351

Tidewater Mobile Medicine, Pllc is a Non-emergency Medical Transport (VAN) based in Portsmouth, VA. Tidewater Mobile Medicine, Pllc practices in Portsmouth, VA. The NPI Number for Tidewater Mobile Medicine, Pllc is 1225527351 and holds a License No. (Virginia).

The current practice location address for Tidewater Mobile Medicine, Pllc is 3520 High St Ste 100, Portsmouth, VA and can be reached out via phone at 757-977-9675 and via fax at 757-483-8099.

Location: 3520 High St Ste 100, Portsmouth, VA, 23707-3126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225527351
Provider Name
Tidewater Mobile Medicine, Pllc
Credential
Provider Entity Type
Organization
Address
3520 High St Ste 100, Portsmouth, VA, 23707-3126
Phone Number
757-977-9675
Fax Number
757-483-8099
Provider Enumeration Date
05/03/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
3520 High St Ste 100
City
Portsmouth
State
Virginia
Zip
23707-3126
Phone Number
757-977-9675
Fax Number
757-483-8099
person
Provider Business Mailing Address Details
Address
3520 High St Ste 100
City
Portsmouth
State
Virginia
Zip
23707-3126
Phone Number
757-977-9675
Fax Number
757-483-8099
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
46193 (Virginia)
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.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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