Individual provider Active NPI

Sandra M Kinsner, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1114210358
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007448 Issued in VA
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

Updated by the provider on May 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1861562472MedicaidVA

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

OrganizationSpecialtyStatusNew patients
City of Virginia Beach Past Accepting new patients
City of Virginia Beach Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.