Cynthia Tapp Elswick, LCSW
Individual provider Active NPI Clinical Social Worker · VA. Beach, VA
NPI 1104902246 · NPPES record last updated Jul 17, 2013
Key facts
- NPI
- 1104902246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 090400 (VA)
- Practice address
- 3432 Magic Hollow Blvd
Suite 200
VA. Beach, VA 23453 - Phone
- (757) 385-4279
- Fax
- (757) 468-2458
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090400 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090400 | VA | Yes |
Addresses
Primary practice location
3432 Magic Hollow Blvd
Suite 200
VA. Beach, VA 23453
Mailing address
2212 Wolfsnare Rd
Virginia Beach, VA 23454-3422
Phone (757) 425-5035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
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All providers in VA. Beach, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.