Individual provider Active NPI

Jennifer Diano Hart, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1326674045
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011525 Issued in VA
Practice address
1765 Gravenhurst Dr
Virginia Beach, VA 23464-8651
Phone
(757) 581-9937
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904011525 VA Primary

Addresses

Primary practice location

1765 Gravenhurst Dr
Virginia Beach, VA 23464-8651

Mailing address

1765 Gravenhurst Dr
Virginia Beach, VA 23464-8651
Phone (757) 581-9937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000411 VA Practitioner - Clinical Social Worker 8628490778 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3173 Monet Dr
Virginia Beach, VA 23453-5515
Phone (757) 581-9937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Fountain, LLC Clinical CurrentSince Feb 1, 2021 Accepting new patients
Hart Talk LLC Clinical CurrentSince May 7, 2022 Accepting new patients
Michael S. Weissman, PH.D.,LTD Clinical CurrentSince May 15, 2020 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical PastSince May 15, 2020 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

291 Independence Blvd
Ste 240
Virginia Beach, VA 23462
Phone (757) 486-1807

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1326674045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GRAVENHURST DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648651",
            "telephone_number": "757-581-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GRAVENHURST DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648651",
            "telephone_number": "757-581-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JENNIFER",
        "middle_name": "DIANO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.