House of Refuge Restoration, LLC
NPI 1124255260ActiveOrganization· Social Worker, Clinical· Chesapeake, VA
Social Worker, Clinical in Chesapeake, Virginia, registered in NPPES in June 2009. The authorized official on file is Teisha Etheridge, BS, Program Director.
Overview
| NPI | 1124255260 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2009 |
| Last updated in NPPES | Jun 16, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 0904006954 | VA |
| Counselor | 101Y00000X | 0812000532 | VA |
| Counselor | 101Y00000X | 0710102115 | VA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 0710102115 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other clinical social workers in Chesapeake
- 1023975646
- 1033787007
- 1043587652
- 1124651930
- 1124779111
- 1134156094
- 1134702095
- 1174270292
- 1194923144
- 1205523677
- 1205721438
- 1215396049
All 208 clinical social workers in Chesapeake · All clinical social workers in Virginia