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

Tidewater Recovery, PLC

Organization Clinical Social Worker · NPI 1396001855

Tidewater Recovery, PLC is a Clinical Social Worker in Urbanna, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012

Practice location Address checks out

55 Cross St
Urbanna, VA 23175
Phone: (804) 758-4242
Fax: (615) 704-7447
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 0904005105 (VA)

Record details

NPI number1396001855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Hallett — Owner/Therapist · (804) 758-4242
NPI enumeratedApril 9, 2012
Last updated in NPPESApril 9, 2012
Mailing addressPo Box 1042, 55 Cross Street, Urbanna, VA 23175-1042

Other providers in Urbanna