Kawanna Evette Ward, LCSW, CSAC, CSOTP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007534 Issued in VA

Practice address

1634 London Blvd
Portsmouth, VA 23704-2137

Phone

(757) 966-1889

NPI assigned

Jan 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Providence Psychological Services Inc

  • Clinical Social Worker
  • Suffolk, VA
  • NPI 1487090429

  Clinical, VA

  Medicare reassignment NPD Authorized official
• Blakey Weaver Counseling Center Inc

  • Community/Behavioral Health Agency
  • Suffolk, VA
  • NPI 1245791995

  Clinical, VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295308800000",
    "number": "1043515331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042137",
            "telephone_number": "757-966-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042137",
            "telephone_number": "757-966-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "KAWANNA",
        "middle_name": "EVETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAC, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0812000607",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102377",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth E Walton, MD
• Kayla Christian Wands, MD
• Junjie Wang, MD
• Ariamanda Ward
• Christopher John Ward, PA
• William Harrell Ward Jr., M.D.
• Shawn Linette Ware-Avant, LPC
• Christopher J Warner II, M.D.
• Nevajo Cooper Warren, LPC
• Tammy Yarnell Warren, APRN

• All providers in Portsmouth, VA
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.