Active NPI
Sandra M Kinsner, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1114210358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007448
- Practice address
- 289 Independence Blvd
Ste 138
Virginia Beach, VA 23462-5493 - Phone
- (757) 385-0888
- NPI assigned
- May 20, 2011
- 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 | 0904007448 | VA | Primary |
Addresses
Primary practice location
289 Independence Blvd
Ste 138
Virginia Beach, VA 23462-5493
Mailing address
321 Hutton Cir
Virginia Beach, VA 23454-3900
Phone (757) 425-0181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Virginia Beach | Past | Accepting new patients | |
| City of Virginia Beach | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/
Organizations & group practices 2
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.
-
- Ambulance
- Virginia Beach, VA
- NPI 1013704246
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1861562472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305849600000",
"number": "1114210358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 HUTTON CIR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234543900",
"telephone_number": "757-425-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 INDEPENDENCE BLVD",
"address_2": "STE 138",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625493",
"telephone_number": "757-385-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSNER",
"first_name": "SANDRA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-20",
"last_updated": "2011-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861562472",
"state": "VA"
}
],
"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 May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.