Carol Joyce Wesley, MSW LCSW CSAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008962 Issued in VA

Practice address

930 Redgate Ave
Norfolk, VA 23507-1518

Phone

(757) 626-3733

Fax

(757) 626-3331

NPI assigned

Nov 3, 2017

Sex

Female

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Deep Connections Counseling LLCGroup PAC ID 4082957295, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Deep Connections Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norfolk, VA
  • NPI 1699244996
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1124530837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 SIR BARTON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624154",
            "telephone_number": "757-285-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 REDGATE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071518",
            "telephone_number": "757-626-3733",
            "fax_number": "757-626-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "CAROL",
        "middle_name": "JOYCE",
        "name_prefix": "Miss",
        "credential": "MSW LCSW CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Wentworth, M.D.
• Grace Visser Wentz, LPC
• Terri Wentz, BS
• Alice L Werner, M.D.
• Eric J. Werner, M.D.
• Jeffrey Ryan Wessel, DDS
• Michael Wessel, R.PH.
• Aaron Patrick Wessell
• Judy A. Wessell, FNP
• Kelly Cassidy West, BSN, RN

• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, 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 Nov 3, 2017; 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.