Individual provider Active NPI

Donna M Paris, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1174601496
Registry record updated Oct 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003177 Issued in VA
Practice address
816 Greenbrier Cir
Suite 209
Chesapeake, VA 23320-2642
Phone
(757) 410-0072
Fax
(757) 962-3920
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2016

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 0904003177 VA Primary

Addresses

Primary practice location

816 Greenbrier Cir
Suite 209
Chesapeake, VA 23320-2642

Mailing address

PO Box 1851
Chesapeake, VA 23327-1851
Phone (757) 410-0072

Other identifiers 1

IdentifierTypeStateIssuer
292934OtherVAANTHEM BLUE CROSS/BLUE SH

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
I20070619000472 VA Practitioner - Clinical Social Worker 3072612845

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

816 Greenbrier Circle
Suite 209
Chesapeake, VA 23320-2642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innervisions Counseling Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1174601496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1851",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233271851",
            "telephone_number": "757-410-0072",
            "fax_number": "757-962-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 GREENBRIER CIR",
            "address_2": "SUITE 209",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202642",
            "telephone_number": "757-410-0072",
            "fax_number": "757-962-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "DONNA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SH",
            "identifier": "292934",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.