Active NPI
Kevin Steven Childs, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1407187263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007199
- Practice address
- 5301 Providence Rd
Suite 40
Virginia Beach, VA 23464-4128 - Phone
- (757) 418-4974
- NPI assigned
- Jan 19, 2010
- Sex
- Male
- 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 | 0904007199 | VA | Primary |
Addresses
Primary practice location
5301 Providence Rd
Suite 40
Virginia Beach, VA 23464-4128
Mailing address
426 Blue Beech Way
Chesapeake, VA 23320-3811
Phone (757) 418-4974
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110418000305 | VA | Practitioner - Clinical Social Worker | 3476737388 | Practice locations: Virginia Beach, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5301 Providence Rd
Suite 40
Virginia Beach, VA 23464-4128
Phone (757) 606-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin Childs Counseling Services | Clinical | 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.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1497182372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1407187263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 BLUE BEECH WAY",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233203811",
"telephone_number": "757-418-4974",
"fax_number": "757-320-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 PROVIDENCE RD",
"address_2": "SUITE 40",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234644128",
"telephone_number": "757-418-4974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "KEVIN",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-19",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 14, 2017; 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.