Individual provider Active NPI

Kenisha Reese, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1073220778
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014847 Issued in VA
Practice address
512 S Lynnhaven Rd Ste 102
Virginia Beach, VA 23452-6664
Phone
(757) 657-4404
Fax
(757) 657-1140
NPI assigned
Nov 2, 2022
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 0904014847 VA Primary

Addresses

Primary practice location

512 S Lynnhaven Rd Ste 102
Virginia Beach, VA 23452-6664

Mailing address

PO Box 2191
Virginia Beach, VA 23450-2191
Phone (757) 657-4404

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
I20230609001885 VA Practitioner - Clinical Social Worker 7012372196 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transformation Health Services LLCGroup PAC ID 2567795628, 13 clinicians

Practice addresses (Care Compare)

508 S Independence Blvd
Suite 200
Virginia Beach, VA 23452-1178
Phone (757) 490-6463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Health Services PLLC Mental Health CurrentSince Feb 15, 2023 Accepting new patients
Quality of Life Family Services, LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients
Transformation Health Services LLC Mental Health Past Accepting new patients
Qol Palliative Care LLC Clinical PastSince Oct 29, 2023 Accepting new patients

Locations

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

512 S Lynnhaven Rd
Ste 102
Virginia Beach, VA 23452
Phone (757) 657-4404

Organizations & group practices 5

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": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1073220778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2191",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234502191",
            "telephone_number": "757-657-4404",
            "fax_number": "757-657-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 S LYNNHAVEN RD STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234526664",
            "telephone_number": "757-657-4404",
            "fax_number": "757-657-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "KENISHA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.