Individual provider Active NPI

Jennifer Marie Stilgebouer, LCSW

  • Clinical Social Worker
  • Williamsburg, VA
National Provider Identifier
1417824780
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904019110 Issued in VA
Practice address
1307 Jamestown Rd Ste 201
Williamsburg, VA 23185-3392
Phone
(757) 912-2367
NPI assigned
Oct 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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 0904019110 VA Primary

Addresses

Primary practice location

1307 Jamestown Rd Ste 201
Williamsburg, VA 23185-3392

Mailing address

1307 Jamestown Rd Ste 201
Williamsburg, VA 23185-3392
Phone (757) 912-2367

Other practice location 1

2244 Executive Dr
Hampton, VA 23666-2430
Phone (757) 827-1001

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
I20251119001635 VA Practitioner - Clinical Social Worker 9032600879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Therapy LLCGroup PAC ID 8426484304, 2 clinicians

Practice addresses (Care Compare)

1307 Jamestown Rd
Suite 201
Williamsburg, VA 23185-3392
Phone (757) 912-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904019110VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Mental Health Foundation Clinical CurrentSince Nov 1, 2025 Accepting new patients
Thrive Therapy, LLC Clinical CurrentSince Nov 1, 2025 Accepting new patients
Riverside Hospital Inc. CurrentSince Oct 27, 2025 Accepting new patients
Riverside Hospital Inc CurrentSince Oct 27, 2025 Accepting new patients
Riverside Hospital Inc Current Accepting new patients

Locations

2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001

10510 Jefferson Ave
Ste E
Newport News, VA 23601
Phone (757) 594-2846

10510 Jefferson Ave
Ste A
Newport News, VA 23601
Phone (757) 594-3800

1303 Mount Vernon Ave
Williamsburg, VA 23185
Phone (757) 378-3952

1307 Jamestown Rd
Ste 201
Williamsburg, VA 23185
Phone (757) 912-0010

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1417824780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853392",
            "telephone_number": "757-912-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 JAMESTOWN RD STE 201",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853392",
            "telephone_number": "757-912-2367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2244 Executive Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662430",
            "country_code": "US",
            "telephone_number": "757-827-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILGEBOUER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.