Individual provider Active NPI

Sentoria H Harold, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1023507688
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090410468 Issued in VA
Practice address
920 Ventures Way Ste 4
Chesapeake, VA 23320
Phone
(757) 752-5743
NPI assigned
May 8, 2018
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090410468 VA Primary

Addresses

Primary practice location

920 Ventures Way Ste 4
Chesapeake, VA 23320

Mailing address

920 Ventures Way Ste 4
Chesapeake, VA 23320-2883
Phone (757) 752-5743

Other practice location 1

1950 Glenn Mitchell Dr Ste 200
Virginia Beach, VA 23456-0168
Phone (757) 507-0600

Other names 1

  • Sentoria Howell Harold Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118000223 VA Practitioner - Clinical Social Worker 0345611018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

920 Ventures Way
Suite 4
Chesapeake, VA 23320-2883
Phone (757) 752-5743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090410468VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Nov 28, 2022 Accepting new patients
Omni Psychotherapy Clinical CurrentSince Jun 24, 2023 Accepting new patients

Locations

920 Ventures Way
Ste 4
Chesapeake, VA 23320
Phone (757) 752-5743

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1950 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 507-0600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1023507688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 VENTURES WAY STE 4",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202883",
            "telephone_number": "757-752-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 VENTURES WAY STE 4",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23320",
            "telephone_number": "757-752-5743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Glenn Mitchell Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234560168",
            "country_code": "US",
            "telephone_number": "757-507-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAROLD",
        "first_name": "SENTORIA",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "090410468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SENTORIA",
            "last_name": "HAROLD",
            "middle_name": "HOWELL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.