Individual provider Active NPI

Jodi Shani Baker-Hutchinson, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1407394497
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009768 Issued in VA
Practice address
930 Redgate Ave
Norfolk, VA 23507-1518
Phone
(757) 626-3733
NPI assigned
Feb 9, 2017
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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 0904009768 VA Primary

Addresses

Primary practice location

930 Redgate Ave
Norfolk, VA 23507-1518

Mailing address

717 Whisper Walk
Chesapeake, VA 23322-6019
Phone (757) 478-4043

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
I20170515000067 VA Practitioner - Clinical Social Worker 8729365028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jodi Baker-Hutchinson LLCGroup PAC ID 0446502074, 2 clinicians

Practice addresses (Care Compare)

501 Cedar Rd
Suite 2C
Chesapeake, VA 23322-5527
Phone (757) 478-4043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904009768VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jodi Baker-Hutchinson LLC CurrentSince Jun 1, 2018 Accepting new patients

Locations

501 Cedar Rd
Ste 2A
Chesapeake, VA 23322
Phone (757) 302-8362

501 Cedar Rd
Ste 2C
Chesapeake, VA 23322
Phone (757) 468-0550

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, 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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1407394497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 WHISPER WALK",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233226019",
            "telephone_number": "757-478-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 REDGATE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071518",
            "telephone_number": "757-626-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER-HUTCHINSON",
        "first_name": "JODI",
        "middle_name": "SHANI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.