DOMINION OUTPATIENT SERVICES, LLC
NPI 1790932911
Social Worker - Clinical in Richmond, VA

NPI Status: Active since August 19, 2008

Contact Information

8100 THREE CHOPT RD RM 101
RICHMOND, VA
ZIP 23229
Phone: (804) 914-4271
Fax: (804) 285-9839

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  • Organization
  • Social Worker
  • Clinical
  • CLIA Number: 49D2255344
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-13-2026

About DOMINION OUTPATIENT SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Dominion Outpatient Services, Llc, a provider established in Richmond, Virginia operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790932911 assigned on August 2008. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Ebony Cowan (Billing Manager)

NPI
1790932911
Provider Legal Name
DOMINION OUTPATIENT SERVICES, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
8100 THREE CHOPT RD RM 101 RICHMOND, VA 23229
Location Phone
(804) 914-4271
Location Fax
(804) 285-9839
Mailing Address
8100 THREE CHOPT RD RM 143 RICHMOND, VA 23229
Mailing Phone
(804) 914-4271
Mailing Fax
(804) 285-9839
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2008
Last Update Date
07-11-2025
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A clinical social worker like Dominion Outpatient Services, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

0904005557 (VA)
3106H00000XBehavioral Health & Social Service Providers

Marriage & Family Therapist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EBONY COWAN

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(804) 988-7093

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2255344
Facility Type
Physician Office
Certificate Effective Date
March 14, 2024
Certificate Expiration Date
March 13, 2026
Laboratory Director
RISHI PARIKH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dominion Outpatient Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790932911
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180183492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 8 + 3 + 4 + 9 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1790932911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033873781 JENNIFER SURRATT LCSW
Individual
Counselor (Mental Health)8100 THREE CHOPT RD RM 101
RICHMOND, VA 23229
(804) 354-1881
1538811450 REBECCA L RICARDO LCSW
Individual
Social Worker (Clinical)8100 THREE CHOPT RD RM 101
HENRICO, VA 23229
(804) 354-1881
1952054918 CAROLE LYNNE EDWARDS LCSW
Individual
Counselor (Mental Health)8100 THREE CHOPT RD RM 101
RICHMOND, VA 23229
(804) 351-1881
1285312744 ALYSSA BICKFORD LCSW
Individual
Counselor (Mental Health)8100 THREE CHOPT RD RM 101
RICHMOND, VA 23229
(804) 354-1881

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790932911, enumerated in the NPI registry as an "organization" on August 19, 2008

The provider is located at 8100 Three Chopt Rd Rm 101 Richmond, Va 23229 and the phone number is (804) 914-4271

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider's CLIA number is 49D2255344 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 19, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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