Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Legacy Wellness Mental Health Services LLC

Organization Clinical Social Worker · NPI 1609765742

Legacy Wellness Mental Health Services LLC provides Clinical Social Worker services in Virginia Beach, Virginia. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1385 Fordham Dr Ste 105-138
Virginia Beach, VA 23464-5345
Phone: (757) 724-0351
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1609765742
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kieshara Matthews — Owner · (757) 724-0351
NPI enumeratedJuly 2, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address1385 Fordham Dr Ste 105-138, Virginia Beach, VA 23464-5345

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