Organization Active NPI

City of Norfolk

Doing business as Norfolk Community Services Board

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1326280652
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24107004 Issued in VA
Legal business name
CITY OF NORFOLK
Doing business as
Norfolk Community Services Board
Practice address
7447 Central Business Park Dr
Norfolk, VA 23513-2867
Phone
(757) 756-5600
NPI assigned
Apr 1, 2009
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4945565MedicaidVA

Other names 1

  • Norfolk Community Services Board Doing business as

National Provider Directory

National Provider Directory

Locations

101 W 35th St
Norfolk, VA 23504
Phone (757) 441-2042

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": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "24107004",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_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.

Verify at the official NPI Registry.