Individual provider Active NPI

Desaray Garland, LCSW-S

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1033833686
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906012207 Issued in VA
Practice address
732 Thimble Shoals Blvd Ste 702
Newport News, VA 23606-4256
Phone
(757) 309-7027
NPI assigned
Sep 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 0906012207 VA Primary

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 702
Newport News, VA 23606-4256

Mailing address

732 Thimble Shoals Blvd Ste 702
Newport News, VA 23606-4256
Phone (757) 309-7027

Other practice location 1

460 Eden Roc Cir Apt 307
Virginia Beach, VA 23451-5494
Phone (757) 309-7027

Other practice location 2

900 Granby St
Norfolk, VA 23510-2503
Phone (757) 309-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906012207VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1033833686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 702",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-309-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 702",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064256",
            "telephone_number": "757-309-7027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Eden Roc Cir Apt 307",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234515494",
            "country_code": "US",
            "telephone_number": "757-309-7027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Granby St",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102503",
            "country_code": "US",
            "telephone_number": "757-309-7027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "DESARAY",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906012207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.