Individual provider Active NPI

Elizabeth Jeanne Polinsky, MSW, LCSW, LMFT

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1326490004
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011022 Issued in VA
Practice address
283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760
Phone
(757) 262-3316
Fax
(757) 260-9965
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11302 SC
Clinical Social Worker 1041C0700X 11302 SC
Clinical Social Worker 1041C0700X 7735-C AR
Clinical Social Worker 1041C0700X 9860-C NV
Marriage & Family Therapist 106H00000X 0717001945 VA
Clinical Social Worker 1041C0700X 0904011022 VA Primary

Addresses

Primary practice location

283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760

Mailing address

283 Constitution Dr Ste 600
Virginia Beach, VA 23462-6760
Phone (757) 262-3316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 6, 2022 through Aug 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7735-CARMDClinical Social Worker
9860-CNVMDClinical Social Worker
11302SCMDClinical Social Worker
0904011022VAMDClinical Social Worker
0717001945VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Wellness and Research Institute LLC CurrentSince Apr 1, 2020 Accepting new patients
The Relationship Center of Hampton Roads PastSince Sep 1, 2019 Accepting new patients

Locations

4615 Pleasant Ave
Unit B
Norfolk, VA 23518
Phone (757) 291-8126

283 Constitution Dr
Ste 600
Virginia Beach, VA 23462
Phone (757) 693-9981

Organizations & group practices 2

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1326490004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 CONSTITUTION DR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-262-3316",
            "fax_number": "757-260-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 CONSTITUTION DR STE 600",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626760",
            "telephone_number": "757-262-3316",
            "fax_number": "757-260-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINSKY",
        "first_name": "ELIZABETH",
        "middle_name": "JEANNE",
        "credential": "MSW, LCSW, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11302",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11302",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7735-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9860-C",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001945",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.