George M Ennels, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000980 Issued in VA

Practice address

224 Great Bridge Blvd
City of Chesapeake Ta Chesapeake Comm. Serv. Board
Chesapeake, VA 23320-3904

Phone

(757) 547-9334

Fax

(757) 819-6292

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1164595443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "address_2": "CITY OF CHESAPEAKE TA CHESAPEAKE COMM. SERV. BOARD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-9334",
            "fax_number": "757-819-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "address_2": "CITY OF CHESAPEAKE TA CHESAPEAKE COMM. SERV. BOARD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-9334",
            "fax_number": "757-819-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNELS",
        "first_name": "GEORGE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON",
            "identifier": "088100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "325673",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enhancing Hopes & Healthcare LLC
• Enhancing Minds LLC
• Enhancing Visionz LLC
• Enjoy Therapy
• Christina Enloe
• Enriched Living Solutions
• Mary Kathleen F. Enriquez
• Envision Partners
• Aaron Eppler
• Felicia Yvonnie Epps, RPH, MSC

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, 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 24, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.