Individual provider Active NPI

Lacy E Biddle, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1194077917
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008033 Issued in VA
Practice address
6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802
Phone
(757) 466-3336
Fax
(757) 455-5750
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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 0904008033 VA Primary

Addresses

Primary practice location

6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802

Mailing address

6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802
Phone (757) 466-3336

Other identifiers 1

IdentifierTypeStateIssuer
1194077917MedicaidVA

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
I20130827000468 VA Practitioner - Clinical Social Worker 7012150840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Counseling and Psychotherapy LLCGroup PAC ID 2163812066, 13 clinicians

Practice addresses (Care Compare)

4460 Corporation LN
Suite 300
Virginia Beach, VA 23462-3150
Phone (757) 376-8167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008033VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Center, Inc. Clinical CurrentSince Nov 16, 2013 Accepting new patients
Lighthouse Counseling and Psychotherapy LLC Clinical CurrentSince Oct 1, 2021 Accepting new patients
Unvaled Psychological PLLC PastSince Apr 1, 2021 Accepting new patients

Locations

6330 Newtown Rd
Ste 300
Norfolk, VA 23502
Phone (757) 466-3336

4460 Corporation Ln
Ste 300
Virginia Beach, VA 23462
Phone (757) 376-8167

505 S Independence Blvd
Ste 213
Virginia Beach, VA 23452
Phone (757) 376-8167

Organizations & group practices 3

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": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1194077917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "LACY",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194077917",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.