Individual provider Active NPI

Deborah K Schueren, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1023773462
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014537 Issued in VA
Practice address
2021 Cunningham Drive
Ste 400
Hampton, VA 23666-3371
Phone
(757) 838-1960
Fax
(757) 838-3280
NPI assigned
Nov 1, 2021
Last updated
Dec 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 0904014537 VA Primary

Addresses

Primary practice location

2021 Cunningham Drive
Ste 400
Hampton, VA 23666-3371

Mailing address

2021 Cunningham Drive
Ste 400
Hampton, VA 23666-3371
Phone (757) 838-1960

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
I20230112002192 VA Practitioner - Clinical Social Worker 1254701030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014537VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Child and Family Services PastSince Nov 1, 2021 Accepting new patients

Organizations & group practices 1

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1023773462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CUNNINGHAM DRIVE",
            "address_2": "STE 400",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663371",
            "telephone_number": "757-838-1960",
            "fax_number": "757-838-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CUNNINGHAM DRIVE",
            "address_2": "STE 400",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663371",
            "telephone_number": "757-838-1960",
            "fax_number": "757-838-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUEREN",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.