Organization Active NPI

Afi Outpatient Mental Health Services, Inc.

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1407212079
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004904 Issued in VA
Legal business name
AFI OUTPATIENT MENTAL HEALTH SERVICES, INC.
Practice address
3217 Commander Shepard Blvd.
Hampton, VA 23666-1598
Phone
(757) 315-8039
Fax
(757) 224-2055
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Mrs. Sherie Regina Sims Mawusi, MSW, LCSWNPI 1669539037
Title
Licensed Clinical Social Worker
Phone
(757) 315-8039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904004904 VA Primary

Addresses

Primary practice location

3217 Commander Shepard Blvd.
Hampton, VA 23666-1598

Mailing address

3217 Commander Shepard Blvd.
Hampton, VA 23666
Phone (757) 315-8039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211130001134 VA Part B Supplier - Clinic/Group Practice 5991195265 Receives reassigned benefits from 1 practitioner
Practice locations: Hampton, VA

National Provider Directory

National Provider Directory

Locations

15 Research Dr
Hampton, VA 23666
Phone (757) 315-8039

3217 Commander Shepard Blvd
Hampton, VA 23666
Phone (757) 215-8039

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1407212079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 COMMANDER SHEPARD BLVD.",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "23666",
            "telephone_number": "757-315-8039",
            "fax_number": "757-224-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 COMMANDER SHEPARD BLVD.",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661598",
            "telephone_number": "757-315-8039",
            "fax_number": "757-224-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFI OUTPATIENT MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "SIMS MAWUSI",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_middle_name": "REGINA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "757-315-8039",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.