Individual provider Active NPI

Victoria Marie Spinelli, LCSW, CSAC

  • Clinical Social Worker
  • Ft Eustis, VA
National Provider Identifier
1366403123
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005181 Issued in VA
Practice address
BLDG 576 Jefferson Ave.
McDonald Army Health Center
Ft Eustis, VA 23604-5548
Phone
(757) 604-1474
Fax
(757) 604-1474
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102132 VA
Clinical Social Worker 1041C0700X 0904005181 VA Primary

Addresses

Primary practice location

BLDG 576 Jefferson Ave.
McDonald Army Health Center
Ft Eustis, VA 23604-5548

Mailing address

339 Green Spring CT
Hampton, VA 23669-1727
Phone (757) 850-3266

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
0710102132VAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1366403123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 GREEN SPRING CT",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236691727",
            "telephone_number": "757-850-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 576 JEFFERSON AVE.",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FT EUSTIS",
            "state": "VA",
            "postal_code": "236045548",
            "telephone_number": "757-604-1474",
            "fax_number": "757-604-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINELLI",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Eustis, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.