Active NPI
Kenisha Reese, LCSW
- Clinical Social Worker
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904014847
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformation Health Services PLLC | Mental Health | Current | Accepting new patients |
| Quality of Life Family Services, LLC | Clinical | Current | Accepting new patients |
| Transformation Health Services LLC | Mental Health | Past | Accepting new patients |
| Qol Palliative Care LLC | Clinical | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1508373812
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1659050136
-
- Mental Health Counselor
- Richmond, VA
- NPI 1730638107
-
- Clinical Social Worker
- Portsmouth, VA
- NPI 1659143139
-
- Psychiatric/Mental Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1013844893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.