Suzanne M. Baldwin, PH.D, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003880 Issued in VA

Practice address

1492 S Independence Blvd
Ste 104
Virginia Beach, VA 23462-5252

Phone

(757) 466-3336

Fax

(757) 455-5750

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Baldwin Counseling PLLC

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1891104949
  Medicare reassignment Authorized official
• Eden Counseling Center

  • Mental Health Counselor
  • Norfolk, VA
  • NPI 1801906144
  NPD (past)
• Genesis Counseling Center, Inc.

  • Professional Counselor
  • Hampton, VA
  • NPI 1164451399

  Clinical

  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1285644609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S INDEPENDENCE BLVD",
            "address_2": "STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625252",
            "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": "1492 S INDEPENDENCE BLVD",
            "address_2": "STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625252",
            "telephone_number": "757-466-3336",
            "fax_number": "757-455-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "SUZANNE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "904003880",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8924724",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balanced Outpatient Therapy LLC
• Jennifer Le Balderston, MD
• Matthew Gene Balderston, M.D.
• Baldwin Counseling PLLC
• Jason Emannuel Baldwin
• Charlotte Therese Balek
• Nora M Balke, FNP-C
• Bryan C Ball
• Maya Leigh Ball, MSW, LCSW
• Tannica Ball, PMHNP

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.