Organization Active NPI

E. Jeanne Salemi LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1306090576
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001284 Issued in VA
Legal business name
E. JEANNE SALEMI LCSW
Practice address
641 Lynnhaven Pkwy
Suite 204
Virginia Beach, VA 23452-7307
Phone
(757) 306-4232
Fax
(757) 306-4235
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
E. Jeanne Salemi, LCSWNPI 1487642815
Title
Owner
Phone
(757) 306-4232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904001284 VA Primary

Addresses

Primary practice location

641 Lynnhaven Pkwy
Suite 204
Virginia Beach, VA 23452-7307

Mailing address

641 Lynnhaven Pkwy
Suite 204
Virginia Beach, VA 23452-7307
Phone (757) 306-4232

Other identifiers 4

IdentifierTypeStateIssuer
008914508MedicaidVA
095507OtherANTHEM
085899OtherVASENTARA
031581OtherVALUE OPTIONS

National Provider Directory

National Provider Directory

Locations

641 Lynnhaven Pkwy
Ste 204
Virginia Beach, VA 23452
Phone (757) 306-4232

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1306090576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 LYNNHAVEN PKWY",
            "address_2": "SUITE 204",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527307",
            "telephone_number": "757-306-4232",
            "fax_number": "757-306-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 LYNNHAVEN PKWY",
            "address_2": "SUITE 204",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527307",
            "telephone_number": "757-306-4232",
            "fax_number": "757-306-4235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JEANNE SALEMI LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "SALEMI",
        "authorized_official_first_name": "E.",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-306-4232",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008914508",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "095507",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "085899",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "031581",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.