Individual provider Active NPI

Eva F Sloan, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1053337634
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003303 Issued in VA
Practice address
6350 Center Dr
Suite 110
Norfolk, VA 23502-4107
Phone
(757) 227-3072
Fax
(757) 227-3212
NPI assigned
Jul 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0904003303 VA Primary

Addresses

Primary practice location

6350 Center Dr
Suite 110
Norfolk, VA 23502-4107

Mailing address

6350 Center Dr
Suite 110
Norfolk, VA 23502-4107
Phone (757) 227-3072

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
I20050908001204 VA Practitioner - Clinical Social Worker 3577595602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3386 Holland Rd
Suite 101
Virginia Beach, VA 23452-4818
Phone (757) 343-6575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003303VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Personal Growth & Change CurrentSince Jan 9, 2007 Accepting new patients
Amazing Counseling LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

3105 American Legion Rd
Ste F
Chesapeake, VA 23321
Phone (757) 227-3072

400 N Center Dr
Ste 124
Norfolk, VA 23502
Phone (757) 227-3072

6350 Center Dr
Ste 110
Norfolk, VA 23502
Phone (757) 227-3072

3386 Holland Rd
Ste 101
Virginia Beach, VA 23452
Phone (757) 343-6575

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053337634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR",
            "address_2": "SUITE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-227-3072",
            "fax_number": "757-227-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 CENTER DR",
            "address_2": "SUITE 110",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024107",
            "telephone_number": "757-227-3072",
            "fax_number": "757-227-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "EVA",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.