Individual provider Active NPI

Paula Beck Crooks, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1164079935
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011229 Issued in VA
Practice address
1500 E Little Creek Rd Ste 205
Norfolk, VA 23518-4137
Phone
(757) 587-4744
Fax
(757) 587-4947
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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 0904011229 VA Primary

Addresses

Primary practice location

1500 E Little Creek Rd Ste 205
Norfolk, VA 23518-4137

Mailing address

1500 E Little Creek Rd Ste 205
Norfolk, VA 23518-4137
Phone (757) 587-4744

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191104002544 VA Practitioner - Clinical Social Worker 8628300068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
First Colonial Psychotherapy ServicesGroup PAC ID 2264334069, 12 clinicians

Practice addresses (Care Compare)

1232 Perimeter Pkwy
Suite 206
Virginia Beach, VA 23454-5924
Phone 75742875000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011229VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Colonial Psychotherapy Services CurrentSince Oct 24, 2023 Accepting new patients
Hampton Roads Behavioral Health,PC CurrentSince Sep 1, 2019 Accepting new patients

Locations

1500 E Little Creek Rd
Ste 205
Norfolk, VA 23518
Phone (757) 587-4744

1232 Perimeter Pkwy
Ste 206
Virginia Beach, VA 23454
Phone (757) 428-7500

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": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1164079935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK RD STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184137",
            "telephone_number": "757-587-4744",
            "fax_number": "757-587-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK RD STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184137",
            "telephone_number": "757-587-4744",
            "fax_number": "757-587-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKS",
        "first_name": "PAULA",
        "middle_name": "BECK",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.