Individual provider Active NPI

Marguerita Wimberly, LMSW, D.D.

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1326680737
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0903002930 Issued in VA
Practice address
813 Forrest Dr Ste B
Newport News, VA 23606-4513
Phone
(757) 528-5397
NPI assigned
Oct 17, 2019
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW135962 PA
Clinical Social Worker 1041C0700X 0903002930 VA Primary

Addresses

Primary practice location

813 Forrest Dr Ste B
Newport News, VA 23606-4513

Mailing address

138 Pine Creek Dr
Hampton, VA 23669-1244
Phone (267) 241-4324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW135962PAMDSocial Worker
0903002930VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Heart Out Patient Services, LLC. CurrentSince May 24, 2020 Accepting new patients
True Heart Counseling LLC PastSince Oct 20, 2019 Accepting new patients

Locations

813 Forrest Dr
Ste B
Newport News, VA 23606
Phone (757) 528-5397

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, 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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1326680737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PINE CREEK DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691244",
            "telephone_number": "267-241-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 FORREST DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064513",
            "telephone_number": "757-528-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "MARGUERITA",
        "name_prefix": "Dr.",
        "credential": "LMSW, D.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW135962",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0903002930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.