Individual provider Active NPI

Korrin Vanderhoof, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1083913032
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009467 Issued in VA
Practice address
534 Massachusetts Ave
Norfolk, VA 23508-2116
Phone
(440) 554-8537
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 I.1451274-SUPV OH
Clinical Social Worker 1041C0700X 0904009467 VA Primary

Addresses

Primary practice location

534 Massachusetts Ave
Norfolk, VA 23508-2116

Mailing address

534 Massachusetts Ave
Norfolk, VA 23508-2116

Other practice location 1

780 Lynnhaven Pkwy Ste 400
Virginia Beach, VA 23452-7332
Phone (757) 694-4723

Other practice location 2

5482 Schueller Blvd
Sheffield Village, OH 44054-2343
Phone (440) 554-8537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1451274-SUPVOHMDClinical Social Worker
0904009467VAMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.korrinvanderhoof@134000.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083913032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MASSACHUSETTS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MASSACHUSETTS AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082116",
            "telephone_number": "440-554-8537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Lynnhaven Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527332",
            "country_code": "US",
            "telephone_number": "757-694-4723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5482 Schueller Blvd",
            "address_purpose": "LOCATION",
            "city": "Sheffield Village",
            "state": "OH",
            "postal_code": "440542343",
            "country_code": "US",
            "telephone_number": "440-554-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERHOOF",
        "first_name": "KORRIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1451274-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.