Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225755093 Individual Practitioner Female Practitioner

Thecle Ebanks

Social Worker - Clinical • Fort Eustis, VA

Professional Overview & Biography Verified Profile Summary

Thecle Ebanks is a registered healthcare professional specializing in Social Worker - Clinical in Fort Eustis, VA. Practice services are available at 576 JEFFERSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

576 Jefferson Ave

Fort Eustis, VA 236041373

Telephone 7573147500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Fort Eustis, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.7 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
21 Specialists

Practicing in Fort Eustis, VA (8272 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-17
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License VA 0904014407

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License TN 8308

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Benjamin Nusbaum , RDN

Dietitian, Registered

NPI 1033686381

Registered Dietitian Nutritionist

Dr. Saw San , DO

Internal Medicine

NPI 1043548514

Doctor of Osteopathic Medicine (D.O.)

Reed Jordan , PA

Physician Assistant

NPI 1053387332

Physician Assistant

NPI 1104440643

Doctor of Medicine (M.D.)

NPI 1114122421

Doctor of Medicine (M.D.)

Lesli Hughes , LCSW

Social Worker - Clinical

NPI 1114322054

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 17, 2024

Registered at 576 JEFFERSON AVE, FORT EUSTIS, VA 236041373 (Tel: 7573147500)

📍
Updated Business Mailing Address August 17, 2024

Registered at 576 JEFFERSON AVE, FORT EUSTIS, VA 236041373

NPI Profile Active October 24, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2022

Registered at 7347 FOUGERE PL, NEW KENT, VA 231243049 (Tel: 3473077616)

📍
Updated Business Mailing Address October 24, 2022

Registered at 7347 FOUGERE PL, NEW KENT, VA 231243049 (Tel: 3473077616)

👤
Provider Name / Credentials Updated October 24, 2022

Recorded as THECLE EBANKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2022

Social Worker (License #8308 in TN)

🟢
Initial NPI Registration & Enumeration October 24, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225755093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2022
Last Update: August 17, 2024
Sole Proprietor: Yes

Mailing Address

576 Jefferson Ave

Fort Eustis, VA 236041373

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.