Rebecca Ellis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904014659 Issued in VA

Practice address

150 Boush St Ste 150
Norfolk, VA 23510-1626

Phone

(757) 724-7038

NPI assigned

Jun 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Gregory Former name

Electronic endpoints 2

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Child and Family Services of Eastern Virginia, IncGroup PAC ID 7618009333, 4 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.

• Child & Family Services of Eastern Virginia, Inc

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1629158159

  Clinical

  Medicare reassignment Care Compare group NPD
• Virginia Beach Counseling and Wellness

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1851779276

  Clinical

  Medicare reassignment NPD
• Marianne Stinson, LPC, LLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1386269256
  NPD

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1124643788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 ANNIE LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522529",
            "telephone_number": "757-724-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BOUSH ST STE 150",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101626",
            "telephone_number": "757-724-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906010218",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Rebecca.ellis@theupcenter.org",
            "affiliation": "N",
            "endpointDescription": "Rebecca.ellis@theupcenter.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secured email",
            "address_1": "150 Boush St Ste 150",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235101626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.ellis@theupcenter.org",
            "affiliation": "N",
            "address_1": "150 Boush St Ste 150",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235101626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "GREGORY",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Reed Ellis, M.D., M.SC.
• Belinda Ellis
• Carl Richard Ellis, ED.D.
• Nicole Ellis, DPT
• Rachel Ellis, PA-S
• Lisa Marie Ellison, MA, LMT
• Tierra Domonique Ellison, LPC
• Enas Elmaghrbi, D.M.D
• Moataz Nasser Elmahdy, DDS
• Kelly A Elmhorst, CRNA, DNAP

• 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 Dec 20, 2022; 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.