Active NPI
Elizabeth Jeanne Polinsky, MSW, LCSW, LMFT
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1326490004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904011022
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7735-C | AR | MD | Clinical Social Worker |
| 9860-C | NV | MD | Clinical Social Worker |
| 11302 | SC | MD | Clinical Social Worker |
| 0904011022 | VA | MD | Clinical Social Worker |
| 0717001945 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mental Wellness and Research Institute LLC | Current | Accepting new patients | |
| The Relationship Center of Hampton Roads | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1730718107
-
- Adult Mental Health Clinic/Center
- Norfolk, VA
- NPI 1649822818
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.