| Uplift Health Technologies, Inc. | |
|
3033 Wilson Blvd Ste 700 Arlington VA 22201-3868 | |
| (888) 380-2028 | |
| Not Available |
| Full Name | Uplift Health Technologies, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3033 Wilson Blvd Ste 700, Arlington, Virginia |
| Authorized Official Name and Position | Clare Frances Boals Frye (SVP OF OPERATIONS) |
| Authorized Official Contact | 6166481196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Health Technologies, Inc. Po Box 360721 Pittsburgh PA 15251-6721 Ph: (888) 380-2028 | Uplift Health Technologies, Inc. 3033 Wilson Blvd Ste 700 Arlington VA 22201-3868 Ph: (888) 380-2028 |
| NPI Number | 1770189243 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 5092109918 |
|---|---|
| Medicare Enrollment ID | O20220218000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770189243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daryl A Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669570628 PECOS PAC ID: 5991792210 Enrollment ID: I20040428001309 |
| Provider Name | Yavar Moghimi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982879185 PECOS PAC ID: 8325216294 Enrollment ID: I20110720000094 |
| Provider Name | Cathy Bottrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245487933 PECOS PAC ID: 7911069299 Enrollment ID: I20120206000301 |
| Provider Name | Julie Ackerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952725699 PECOS PAC ID: 3274765946 Enrollment ID: I20140410002090 |
| Provider Name | David E Kiwanuka Lubega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740600162 PECOS PAC ID: 6800102740 Enrollment ID: I20150908002707 |
| Provider Name | Denisha Latrese Salley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235533787 PECOS PAC ID: 6800228115 Enrollment ID: I20191211001325 |
| Provider Name | Joseph Melendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699272690 PECOS PAC ID: 9931534823 Enrollment ID: I20200123000862 |
| Provider Name | Amar A Mukhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346697760 PECOS PAC ID: 5092009563 Enrollment ID: I20200903002670 |
| Provider Name | Kimmeth E Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184275166 PECOS PAC ID: 6103238795 Enrollment ID: I20201228000431 |
| Provider Name | Nichelle N Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427368000 PECOS PAC ID: 4981905387 Enrollment ID: I20220512001638 |
| Provider Name | Shawntese Elicia Charles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568903615 PECOS PAC ID: 1759775588 Enrollment ID: I20220513001817 |
| Provider Name | Jessica Hershey Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659642676 PECOS PAC ID: 4385029651 Enrollment ID: I20220922002454 |
| Provider Name | Elizabeth Spotts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417094442 PECOS PAC ID: 6406231711 Enrollment ID: I20220923002357 |
| Provider Name | Alicia D Sellitti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861067159 PECOS PAC ID: 0143606202 Enrollment ID: I20220928000219 |
| Provider Name | Elizabeth Csw Crouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487175469 PECOS PAC ID: 5193101673 Enrollment ID: I20221006002139 |
| Provider Name | Jessica Rittenhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346816451 PECOS PAC ID: 1355727835 Enrollment ID: I20221006002203 |
| Provider Name | Carmella Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245537679 PECOS PAC ID: 2961800289 Enrollment ID: I20221018001643 |
| Provider Name | Donna Sue Zientek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003402066 PECOS PAC ID: 1456727858 Enrollment ID: I20221026000016 |
| Provider Name | Tracy Ellen Ambos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487010971 PECOS PAC ID: 2668727918 Enrollment ID: I20230112001198 |
| Provider Name | Paris Gasque |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760729875 PECOS PAC ID: 3870964521 Enrollment ID: I20230117002616 |
| Provider Name | Kaitlyn Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346916616 PECOS PAC ID: 9335544386 Enrollment ID: I20230131002544 |
| Provider Name | John Daughtrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821561655 PECOS PAC ID: 3971975780 Enrollment ID: I20230203001615 |
| Provider Name | Lyndsay J Larocca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831828995 PECOS PAC ID: 6406228212 Enrollment ID: I20230203001723 |
| Provider Name | Deborah Wrinkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770819484 PECOS PAC ID: 1254470198 Enrollment ID: I20230206000079 |
| Provider Name | Rebekah Philippart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063801264 PECOS PAC ID: 2163738055 Enrollment ID: I20230209002055 |
| Provider Name | Yvette Watts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306467758 PECOS PAC ID: 0446671291 Enrollment ID: I20230209002626 |
| Provider Name | Krista Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881394 PECOS PAC ID: 4688046956 Enrollment ID: I20230214003327 |
| Provider Name | Linda Smart Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588010144 PECOS PAC ID: 1951692789 Enrollment ID: I20230227000307 |
| Provider Name | Rosenir Muniz Geraci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942587274 PECOS PAC ID: 7214300300 Enrollment ID: I20230311000215 |
| Provider Name | Edward Geraty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952435455 PECOS PAC ID: 4981926144 Enrollment ID: I20230313000103 |
| Provider Name | Jennifer Dempsey Greer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356510267 PECOS PAC ID: 5294882866 Enrollment ID: I20230320001143 |
| Provider Name | Lauren Ruther |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740600956 PECOS PAC ID: 6800260118 Enrollment ID: I20230327002663 |
| Provider Name | Caitlin Ford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902439516 PECOS PAC ID: 1658701438 Enrollment ID: I20230330000945 |
| Provider Name | Valeree Tolios |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285103846 PECOS PAC ID: 4981008273 Enrollment ID: I20230403000489 |
| Provider Name | Nancy Paz Welsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750041703 PECOS PAC ID: 5698140432 Enrollment ID: I20230410002484 |
| Provider Name | Annaka Welty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013526730 PECOS PAC ID: 1254705536 Enrollment ID: I20230420001517 |
| Provider Name | Zephaniah Mukendi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407381619 PECOS PAC ID: 5698130839 Enrollment ID: I20230424000907 |
| Provider Name | Larkin Plato |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508255647 PECOS PAC ID: 7416312590 Enrollment ID: I20230424002999 |
| Provider Name | David Mcginness |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710901632 PECOS PAC ID: 3779670500 Enrollment ID: I20230605000605 |
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