Individual provider Active NPI

Marina L Falvo, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1245508043
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006539 Issued in VA
Practice address
289 Independence Blvd
Ste 245
Virginia Beach, VA 23462-5493
Phone
(757) 385-0850
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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 0904006539 VA Primary

Addresses

Primary practice location

289 Independence Blvd
Ste 245
Virginia Beach, VA 23462-5493

Mailing address

717 Rutherford Dr
Chesapeake, VA 23322-3450
Phone (757) 482-0726

Other identifiers 1

IdentifierTypeStateIssuer
1861562472MedicaidVA

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
I20200113001260 VA Practitioner - Clinical Social Worker 3779918164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Services of Eastern Virginia, Inc Clinical CurrentSince Feb 20, 2025 Accepting new patients
City of Chesapeake CurrentSince Nov 4, 2019 Accepting new patients
City of Chesapeake CurrentSince Nov 4, 2019 Accepting new patients

Locations

224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334

580 E Main St
Ste 400
Norfolk, VA 23510

222 W 19th St
Norfolk, VA 23517
Phone (757) 622-7017

1805 Airline Blvd
Portsmouth, VA 23707
Phone (757) 337-3557

828 Healthy Way
Ste 105
Virginia Beach, VA 23462
Phone (757) 622-7017

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": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1245508043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 RUTHERFORD DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233223450",
            "telephone_number": "757-482-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "STE 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-385-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALVO",
        "first_name": "MARINA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.