Individual provider Active NPI

Nassim Hartung, LCSW

  • Mental Health Counselor
  • Williamsburg, VA
National Provider Identifier
1235795683
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0904010986 Issued in VA
Practice address
3917 Midlands Rd Ste 200
Williamsburg, VA 23188-4505
Phone
(757) 304-3105
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0904010986 VA Primary

Addresses

Primary practice location

3917 Midlands Rd Ste 200
Williamsburg, VA 23188-4505

Mailing address

3917 Midlands Rd Ste 200
Williamsburg, VA 23188-4505
Phone (757) 304-3105

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
I20240404002731 VA Practitioner - Clinical Social Worker 3072951417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1235795683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 MIDLANDS RD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231884505",
            "telephone_number": "757-304-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 MIDLANDS RD STE 200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231884505",
            "telephone_number": "757-304-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTUNG",
        "first_name": "NASSIM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904010986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.