Individual provider Active NPI

Marie Helene Gingras

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1407219215
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009329 Issued in VA
Practice address
2208 Executive Dr
Suite C
Hampton, VA 23666-6603
Phone
(757) 826-7516
Fax
(757) 826-6232
NPI assigned
Mar 30, 2016
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904009329 VA Primary

Addresses

Primary practice location

2208 Executive Dr
Suite C
Hampton, VA 23666-6603

Mailing address

2208 Executive Dr
Suite C
Hampton, VA 23666-6603
Phone (757) 826-7516

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000396 VA Practitioner - Clinical Social Worker 5193012011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hampton Mental Health Associates, IncGroup PAC ID 9133113996, 14 clinicians

Practice addresses (Care Compare)

2112 Hartford Rd
Hampton, VA 23666-2409
Phone (757) 826-7516

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904009329VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Mental Health Associates, Inc CurrentSince Jun 26, 2016 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients

Locations

2112 Hartford Rd
Hampton, VA 23666
Phone (757) 826-7516

2208 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 826-7516

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1407219215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 EXECUTIVE DR",
            "address_2": "SUITE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666603",
            "telephone_number": "757-826-7516",
            "fax_number": "757-826-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 EXECUTIVE DR",
            "address_2": "SUITE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666603",
            "telephone_number": "757-826-7516",
            "fax_number": "757-826-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGRAS",
        "first_name": "MARIE",
        "middle_name": "HELENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.