Kathryn Jane Persons, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008085 Issued in VA

Practice address

825 Diligence Dr Ste 206
Newport News, VA 23606-4272

Phone

(757) 310-6900

Fax

(757) 240-5936

NPI assigned

Jan 24, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coastal Medical and Psychiatric Services IncGroup PAC ID 4183948060, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Coastal Medical and Psychiatric Services Inc.

  • Psychiatry Physician
  • Newport News, VA
  • NPI 1134460132
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366597254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 IRONWOOD DR",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935563",
            "telephone_number": "774-788-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DILIGENCE DR STE 206",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064272",
            "telephone_number": "757-310-6900",
            "fax_number": "757-240-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSONS",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "107865",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Touch Home Care of VA, Inc
• Personal Touch Home Care of VA, Inc.
• Personal Touch Hospice of Virginia, Inc
• Personal Touch Hospice of Virginia, Inc
• Personalized Medical Transport LLC.
• Perspective Psychotherapy Inc
• Nneka Chotsani Peterkin
• Amanda Brooke Peters, AG-ACNP
• Agnieszka Ewa Petersen, MD
• Wayne Lawrence Petersen Jr., MSW

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.