Individual provider Active NPI

Laura Lee Bronstein, LCSW

  • Clinical Social Worker
  • Yorktown, VA
National Provider Identifier
1053610592
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007599 Issued in VA
Practice address
6515 George Washington Mem Hwy
Suite 100
Yorktown, VA 23692-2182
Phone
(757) 877-9140
Fax
(757) 877-3925
NPI assigned
Mar 23, 2011
Last updated
Mar 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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 0904007599 VA Primary

Addresses

Primary practice location

6515 George Washington Mem Hwy
Suite 100
Yorktown, VA 23692-2182

Mailing address

101 Perrin Cir
Seaford, VA 23696-2413
Phone (757) 369-8865

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
I20110421000906 VA Practitioner - Clinical Social Worker 1557546231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hampton Roads Counseling IncGroup PAC ID 2163753575, 4 clinicians

Practice addresses (Care Compare)

6515 George Washington Mem Hwy
Suite 100
Yorktown, VA 23692-2182
Phone (757) 877-9140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007599VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Roads Counseling Inc CurrentSince Aug 22, 2019 Accepting new patients

Locations

6515 George Washington Mem Hwy
Ste 100
Yorktown, VA 23692
Phone (757) 651-0605

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1053610592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PERRIN CIR",
            "city": "SEAFORD",
            "state": "VA",
            "postal_code": "236962413",
            "telephone_number": "757-369-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GEORGE WASHINGTON MEM HWY",
            "address_2": "SUITE 100",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922182",
            "telephone_number": "757-877-9140",
            "fax_number": "757-877-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONSTEIN",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.