Providence Psychological Services Inc
NPI 1487090429 · Clinical Social Worker · Suffolk, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Psychological Services Inc is a Clinical Social Worker organization in Suffolk, VA (NPI 1487090429).
Provider details
- NPI number
- 1487090429
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kawanna Ward, Ceo(757) 535-7839
- License
- 09040007534 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-17
- Last updated
- 2013-05-17
Frequently asked questions
- What is Providence Psychological Services Inc's NPI number?
- Providence Psychological Services Inc's National Provider Identifier (NPI) is 1487090429, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Psychological Services Inc?
- Providence Psychological Services Inc is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Providence Psychological Services Inc located?
- Providence Psychological Services Inc's practice location on file with NPPES is 129 N Saratoga St, Suffolk, VA 23434-5255.
- What is Providence Psychological Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Providence Psychological Services Inc is (757) 539-5353.
- Does Providence Psychological Services Inc accept Medicare?
- Providence Psychological Services Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Providence Psychological Services Inc?
- The authorized official listed on Providence Psychological Services Inc's NPPES record is Kawanna Ward, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Psychological Services Inc's NPI active?
- Yes — Providence Psychological Services Inc's NPI (1487090429) is active in the NPPES registry as of the last update on 2013-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.