Individual provider Active NPI

Phyllis Ann Saunders, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1265746796
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006639 Issued in VA
Practice address
6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802
Phone
(757) 466-3336
Fax
(757) 455-5750
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

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 0904006639 VA Primary

Addresses

Primary practice location

6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802

Mailing address

6330 Newtown Rd
Suite 300
Norfolk, VA 23502-4802
Phone (757) 466-3336

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
I20111104000039 VA Practitioner - Clinical Social Worker 5193998318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beach Counseling LLCGroup PAC ID 7012267172, 2 clinicians

Practice addresses (Care Compare)

2528 Las Brisas Dr
Virginia Beach, VA 23456-4264
Phone (757) 689-0334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Counseling, LLC Clinical CurrentSince May 15, 2020 Accepting new patients
Reboot Functional Health Care Corporation CurrentSince Jan 21, 2022 Accepting new patients
Genesis Counseling Center, Inc. Clinical PastSince Nov 16, 2013 Accepting new patients
Atlantic Psychiatric Services Past Accepting new patients
Eden Counseling Center PastSince Dec 1, 2006 Accepting new patients

Locations

2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985

Organizations & group practices 5

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1265746796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 NEWTOWN RD",
            "address_2": "SUITE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024802",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.