Active NPI
Karen Midyette Avery, LCSW
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1235140302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 6330 Newtown Rd
Ste 625
Norfolk, VA 23502-4808 - Phone
- (757) 461-3313
- Fax
- (757) 461-8363
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | VA | Primary |
Addresses
Primary practice location
6330 Newtown Rd
Ste 625
Norfolk, VA 23502-4808
Mailing address
6330 Newtown Rd
Ste 625
Norfolk, VA 23502-4808
Phone (757) 461-3313
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904 000 340 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235140302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6330 NEWTOWN RD",
"address_2": "STE 625",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024808",
"telephone_number": "757-461-3313",
"fax_number": "757-461-8363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 NEWTOWN RD",
"address_2": "STE 625",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024808",
"telephone_number": "757-461-3313",
"fax_number": "757-461-8363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "KAREN",
"middle_name": "MIDYETTE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
- Avenues Recovery Center at Norfolk LLC
- Avenues Recovery Center at Norfolk LLC
- Avenues Recovery Center at Norfolk LLC
- Avenues Recovery Center at Norfolk LLC
- Avenues Recovery Extended Care at Norfolk LLC
- Noelia Aviles-Otero, MD
- Aviso Consulting & Psychotherapy Solutions, LLC
- Rachel Avsec, PA
- Niya Ayala, PHARMD
- Paula R. Ayers, CFNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.