Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Psychological Services Inc

Organization Clinical Social Worker · NPI 1487090429

Providence Psychological Services Inc is a Clinical Social Worker in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 N Saratoga St Ste 1
Suffolk, VA 23434-5255
Phone: (757) 539-5353
Fax: (757) 539-5399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 09040007534 (VA)

Record details

NPI number1487090429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kawanna Ward — Ceo · (757) 535-7839
NPI enumeratedMay 17, 2013
Last updated in NPPESMay 17, 2013
Mailing address129 N Saratoga St, Ste 1, Suffolk, VA 23434-5255

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