Individual provider Active NPI

Stacy S Sgambelluri

  • School Social Worker
  • Virginia Beach, VA
National Provider Identifier
1184431801
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
TGP-063157 Issued in VA
Practice address
5649 Bayside Rd
Virginia Beach, VA 23455-3410
Phone
(757) 648-2080
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X TGP-063157 VA Primary

Addresses

Primary practice location

5649 Bayside Rd
Virginia Beach, VA 23455-3410

Mailing address

552 Windsor Gate Rd
Virginia Beach, VA 23452-2929
Phone (757) 880-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
TGP-063157VAMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1184431801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 WINDSOR GATE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522929",
            "telephone_number": "757-880-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5649 BAYSIDE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234553410",
            "telephone_number": "757-648-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGAMBELLURI",
        "first_name": "STACY",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "VA",
            "license": "TGP-063157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.