Individual provider Active NPI

Cameo Tuesday Harris, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1053536367
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006535 Issued in VA
Practice address
732 Thimble Shoals Blvd Ste 202
Newport News, VA 23606-4262
Phone
(175) 753-5812
Fax
(757) 223-7856
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2262 VA
Clinical Social Worker 1041C0700X 0904006535 VA Primary

Addresses

Primary practice location

732 Thimble Shoals Blvd Ste 202
Newport News, VA 23606-4262

Mailing address

732 Thimble Shoals Blvd Ste 202
Newport News, VA 23606-4262
Phone (757) 753-5812

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
I20160525002231 VA Practitioner - Clinical Social Worker 3173812559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Available Mental Health Services LLCGroup PAC ID 6800170697, 2 clinicians

Practice addresses (Care Compare)

732 Thimble Shoals Blvd
Suite 202
Newport News, VA 23606-4262
Phone (757) 223-7810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006535VAMDClinical Social Worker
2262VAMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Available Mental Health Services, LLC Clinical CurrentSince Feb 20, 2019 Accepting new patients
Kreative Milestones Behavioral Healthcare Services LLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

732 Thimble Shoals Blvd
Ste 202
Newport News, VA 23606
Phone (757) 223-7810

12388 Warwick Blvd
Ste 303
Newport News, VA 23606
Phone (731) 435-1545

5007 Victory Blvd
Ste C
Yorktown, VA 23693
Phone (757) 865-6999

5007C Victory Blvd
Yorktown, VA 23693
Phone (202) 904-3536

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1053536367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 202",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064262",
            "telephone_number": "757-753-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 THIMBLE SHOALS BLVD STE 202",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064262",
            "telephone_number": "175-753-5812",
            "fax_number": "757-223-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CAMEO",
        "middle_name": "TUESDAY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "2262",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.