Organization
NORTHWESTERN COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN DEGRAFF HARRISON (CEO)
(540) 434-1941
Entity
Organization
Contact information
Practice address
209 W CRISER RD, STE 100, FRONT ROYAL, VA 22630-2360
(540) 636-2931
(540) 636-2933
Mailing address
209 W CRISER RD, STE 300, FRONT ROYAL, VA 22630-2360
(540) 636-4250
(540) 636-7171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VA
101YM0800X
Mental Health Counselor
—
VA
101YP2500X
Professional Counselor
—
VA
104100000X
Social Worker
—
VA
1041C0700X
Clinical Social Worker
—
VA
106H00000X
Marriage & Family Therapist
—
VA
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215930573
—
VA
Enumeration date
05/31/2005
Last updated
02/19/2025
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