| Uplift Health Technologies, Inc. | |
|
1001 19th St N Ste 1200 Arlington VA 22209-1731 | |
| (904) 294-5194 | |
| Not Available |
| Full Name | Uplift Health Technologies, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 19th St N Ste 1200, Arlington, Virginia |
| Authorized Official Name and Position | Kyle Talcott (CEO) |
| Authorized Official Contact | 9042945194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Health Technologies, Inc. 15 Broad St Apt 2520 New York NY 10005-1990 Ph: (904) 294-5194 | Uplift Health Technologies, Inc. 1001 19th St N Ste 1200 Arlington VA 22209-1731 Ph: (904) 294-5194 |
| NPI Number | 1770189243 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 02/19/2021 |
| Certification Date | 02/19/2021 |
| 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 S 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 | Lindsay A Moazzami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043679319 PECOS PAC ID: 9931490992 Enrollment ID: I20160622000742 |
| 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 | Alexis Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407208556 PECOS PAC ID: 4587097928 Enrollment ID: I20200528000824 |
| 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 | Yolanda Walton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275867111 PECOS PAC ID: 9234545021 Enrollment ID: I20210302001853 |
| 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 | Noelle Stabler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073132999 PECOS PAC ID: 1153720826 Enrollment ID: I20220728000673 |
| Provider Name | Charley Rowynne Uttal Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568010924 PECOS PAC ID: 0345623864 Enrollment ID: I20220817000058 |
| Provider Name | Clare Savage Bolek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275113888 PECOS PAC ID: 8022492685 Enrollment ID: I20220831000056 |
| 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 L 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 Crouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487175469 PECOS PAC ID: 5193101673 Enrollment ID: I20221006002139 |
| Provider Name | Jessica Marie 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 | Jennifer Wolsin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811307895 PECOS PAC ID: 0840666517 Enrollment ID: I20221122001058 |
| 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 | Tamara Marzouk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962169300 PECOS PAC ID: 4880065499 Enrollment ID: I20230118002233 |
| 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 | Deborah Wrinkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770819484 PECOS PAC ID: 1254470198 Enrollment ID: I20230206000079 |
| Provider Name | Yvonne Berry Levar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023639267 PECOS PAC ID: 6507238219 Enrollment ID: I20230206003194 |
| 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 | Pricilla Liriano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609140110 PECOS PAC ID: 2163806555 Enrollment ID: I20230214000036 |
| Provider Name | Krista Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134881394 PECOS PAC ID: 4688046956 Enrollment ID: I20230214003327 |
| Provider Name | Courtney Weaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376816405 PECOS PAC ID: 5193049856 Enrollment ID: I20230216003000 |
| Provider Name | Courtney Mcfadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992063366 PECOS PAC ID: 1052686573 Enrollment ID: I20230224001834 |
| 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 | Jose Carlos Vera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154509123 PECOS PAC ID: 5395118996 Enrollment ID: I20230301002533 |
| 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 | Cordelia Cranshaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518536937 PECOS PAC ID: 2769856509 Enrollment ID: I20230320000164 |
| 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 | Janell Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114544186 PECOS PAC ID: 9537587498 Enrollment ID: I20230327000001 |
| 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 | Olivia Laguerre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679180871 PECOS PAC ID: 0042685265 Enrollment ID: I20230331000572 |
| 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 | Lacey Nicole Maddrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811208101 PECOS PAC ID: 6406221100 Enrollment ID: I20230411002498 |
| 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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