Active NPI
City of Norfolk
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1326280652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24107004
- Legal business name
- CITY OF NORFOLK
- Practice address
- 7447 Central Business Park Dr
Norfolk, VA 23513-2867 - Phone
- (757) 756-5600
- NPI assigned
- Apr 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Paige Fuller
- Title
- Executive Director
- Phone
- (757) 756-5600
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 24107004 | VA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24107004 | VA | |
| Mental Health Counselor | 101YM0800X | 24107004 | VA | |
| Professional Counselor | 101YP2500X | 24107004 | VA | |
| Psychologist | 103T00000X | 24107004 | VA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 24107004 | VA | |
| Clinical Psychologist | 103TC0700X | 24107004 | VA | |
| Social Worker | 104100000X | 24107004 | VA | |
| Clinical Social Worker | 1041C0700X | 24107004 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 24107004 | VA |
Addresses
Primary practice location
7447 Central Business Park Dr
Norfolk, VA 23513-2867
Mailing address
7447 Central Business Park Dr
Norfolk, VA 23513-2867
Phone (757) 756-5600
Other practice location 1
225 W Olney Rd
Norfolk, VA 23510-1534
Phone (757) 823-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945565 | Medicaid | VA |
Other names 1
- Norfolk Community Services Board
National Provider Directory
National Provider DirectoryLocations
6401 Tidewater Dr
Norfolk, VA 23509
Phone (757) 823-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238544000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670284800000",
"number": "1326280652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 CENTRAL BUSINESS PARK DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235132867",
"telephone_number": "757-756-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 CENTRAL BUSINESS PARK DR",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235132867",
"telephone_number": "757-756-5600"
}
],
"practiceLocations": [
{
"address_1": "225 W Olney Rd",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235101534",
"country_code": "US",
"telephone_number": "757-823-1600",
"fax_number": "757-823-1601",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CITY OF NORFOLK",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-01",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "SARAH",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "757-756-5600"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "VA",
"license": "24107004",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "24107004",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "24107004",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945565",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Norfolk Community Services Board",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Norfolk Community Services Board",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.