Active NPI
Eleanor T Shumaker, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1407092984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000792
- Practice address
- 464 Investors PL Ste 204L
Virginia Beach, VA 23452-1167 - Phone
- (757) 802-2510
- Fax
- (757) 321-6269
- NPI assigned
- Jan 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000792 | VA | Primary |
Addresses
Primary practice location
464 Investors PL Ste 204L
Virginia Beach, VA 23452-1167
Mailing address
P.O. Box 13296
Chesapeake, VA 23325
Phone (757) 714-1838
Other names 1
- Ellie Shumaker
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904000792 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of Eastern Virginia Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Virginia Beach, VA
- NPI 1962432294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297555200000",
"number": "1407092984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 13296",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23325",
"telephone_number": "757-714-1838",
"fax_number": "757-321-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 INVESTORS PL STE 204L",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234521167",
"telephone_number": "757-802-2510",
"fax_number": "757-321-6269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAKER",
"first_name": "ELEANOR",
"middle_name": "T",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-05",
"last_updated": "2011-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLIE",
"last_name": "SHUMAKER",
"code": "2",
"type": "Professional Name"
}
]
}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 Feb 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.