Individual provider Active NPI

Nikelah R Hughes, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1073335352
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017581 Issued in VA
Practice address
6104 Harnessmaker CT Apt 103
Virginia Beach, VA 23464-4834
Phone
(757) 999-4072
NPI assigned
Oct 29, 2024
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 32827 MD
Clinical Social Worker 1041C0700X 0904017581 VA Primary

Addresses

Primary practice location

6104 Harnessmaker CT Apt 103
Virginia Beach, VA 23464-4834

Mailing address

3419 Virginia Beach Blvd # 5044
Virginia Beach, VA 23452-4419
Phone (757) 999-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241213000300 VA Practitioner - Clinical Social Worker 4688100613 Reassigns benefits to 1 organization
I20250113002437 DC Practitioner - Clinical Social Worker 4688100613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32827MDMDClinical Social Worker
0904017581VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Collective LLC Clinical CurrentSince May 25, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Dec 10, 2024 Accepting new patients
Western Tidewater Community Mental Single Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 297-6746

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-2222

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

3419 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 255-8454

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, 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": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1073335352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 5044",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "telephone_number": "757-999-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6104 HARNESSMAKER CT APT 103",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234644834",
            "telephone_number": "757-999-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "NIKELAH",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "32827",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.