Active NPI
Jamie K McCullar, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1215806237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904019390
- Practice address
- 1924 Landstown Centre Way
Virginia Beach, VA 23456-1624 - Phone
- (757) 668-4673
- NPI assigned
- Oct 30, 2025
- Last updated
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904019390 | VA | Primary |
Addresses
Primary practice location
1924 Landstown Centre Way
Virginia Beach, VA 23456-1624
Mailing address
850 Southampton Ave FL 4
Norfolk, VA 23510-1021
Phone (757) 668-5706
Other practice location 1
601 Childrens Ln
Norfolk, VA 23507-1971
Phone (757) 668-5706
Other practice location 2
401 Gresham Dr
Norfolk, VA 23507
Phone (757) 668-4673
Other practice location 3
850 Southampton Ave Fl 4
Norfolk, VA 23510-1021
Phone (757) 668-5706
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904019390 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1215806237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 SOUTHAMPTON AVE FL 4",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235101021",
"telephone_number": "757-668-5706",
"fax_number": "757-668-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 LANDSTOWN CENTRE WAY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234561624",
"telephone_number": "757-668-4673"
}
],
"practiceLocations": [
{
"address_1": "601 Childrens Ln",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071971",
"country_code": "US",
"telephone_number": "757-668-5706",
"fax_number": "757-668-8559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "23507",
"country_code": "US",
"telephone_number": "757-668-4673",
"fax_number": "757-668-8559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Southampton Ave Fl 4",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235101021",
"country_code": "US",
"telephone_number": "757-668-5706",
"fax_number": "757-668-8559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCULLAR",
"first_name": "JAMIE",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904019390",
"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 Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.