Marybeth Gingrich, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904013361 Issued in VA

Practice address

606 Denbigh Blvd Ste 100
Newport News, VA 23608-4413

Phone

(757) 864-0673

NPI assigned

Nov 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jban, LLC

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1639938178
  NPD Authorized official
• DQS Communications Health Care Group

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1265705461
  NPD

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1245995299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10719 BRICE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224077731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 DENBIGH BLVD STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084413",
            "telephone_number": "757-864-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRICH",
        "first_name": "MARYBETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haroon Gill, M.B.B.S.
• William Stanley Gillen, MD
• Terri Dejuana Gilliam, APRN
• Kaitlin Ann Gilman, LPTA
• Terry James Gingras, PH.D.
• Charles L Ginsburgh, MD
• Emily Giordano, OTR/L
• Sarah J Giuliani
• Curtis Delp Givens Jr., M.D.
• Glad Care Transport LLC

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.