Jerry William Maccauley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002572 Issued in VA

Practice address

411 Cedar Rd
Chesapeake, VA 23322-5566

Phone

(757) 548-8848

Fax

(757) 549-1347

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beach Counseling LLCGroup PAC ID 7012267172, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Beach Counseling, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Virginia Beach, VA
  • NPI 1689162547
  Medicare reassignment Care Compare group NPD
• Reboot Functional Health Care Corporation

  • Family Medicine Physician
  • Virginia Beach, VA
  • NPI 1427709526
  NPD
• Psychological Services of Chesapeake, P.C.

  • Clinical Psychologist
  • Chesapeake, VA
  • NPI 1669487088
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083611032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225566",
            "telephone_number": "757-548-8848",
            "fax_number": "757-549-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CEDAR RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225566",
            "telephone_number": "757-548-8848",
            "fax_number": "757-549-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCAULEY",
        "first_name": "JERRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M. S. Denbar, D.D.S., P.C.
• M.T. Curry Inc
• M&a Fisher Enterprises, Inc
• Oscar Macapobre, PHARMD
• Kristin R Maccartney, DPT
• Ali Nicole Macdonald, DMD
• Allison Julia Macdonald, CCC-SLP
• Darryl E Macdowall, DC
• Roy Philip Macgregor, MD
• Susan Mack, OTR/L

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.