Individual provider Active NPI

Rebecca Ellen Creed, LCSW

  • Clinical Social Worker
  • Cape Charles, VA
National Provider Identifier
1194900928
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002185 Issued in VA
Practice address
4207 Sunnyside Rd
Cape Charles, VA 23310-3706
Phone
(757) 695-0138
NPI assigned
Dec 28, 2007
Last updated
Jun 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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 0904002185 VA Primary

Addresses

Primary practice location

4207 Sunnyside Rd
Cape Charles, VA 23310-3706

Mailing address

PO Box 543
Cape Charles, VA 23310-0543
Phone (757) 695-0138

Other practice location 1

35615 Belle Haven Rd
Belle Haven, VA 23306-1224
Phone (757) 695-0138

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
I20080304000653 VA Practitioner - Clinical Social Worker 2668557406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eastern Shore Community MH Mr Sas Services BoardGroup PAC ID 8729185095, 17 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

19056 Greenbush Rd
Parksley, VA 23421-2510
Phone (757) 665-1260

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904002185VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Community MH Mr Sas Services Board CurrentSince Nov 1, 2020 Accepting new patients
Eastern Shore Community Services Board CurrentSince Nov 1, 2020 Accepting new patients

Locations

19056 Greenbush Rd
Parksley, VA 23421
Phone (757) 665-1260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1194900928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233100543",
            "telephone_number": "757-695-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 SUNNYSIDE RD",
            "city": "CAPE CHARLES",
            "state": "VA",
            "postal_code": "233103706",
            "telephone_number": "757-695-0138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35615 Belle Haven Rd",
            "address_purpose": "LOCATION",
            "city": "Belle Haven",
            "state": "VA",
            "postal_code": "233061224",
            "country_code": "US",
            "telephone_number": "757-695-0138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CREED",
        "first_name": "REBECCA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Charles, VA

Sources for this page

Verify at the official NPI Registry.