Individual provider Active NPI

Jean Benze Schlichter, MSW LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1417973439
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000409 Issued in VA
Practice address
500 E Plume St Ste 205
Norfolk, VA 23510-2325
Phone
(757) 828-1640
Fax
(757) 210-3905
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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 0904000409 VA Primary

Addresses

Primary practice location

500 E Plume St Ste 205
Norfolk, VA 23510-2325

Mailing address

6275 E Virginia Beach Blvd Ste 300
Norfolk, VA 23502-2851
Phone (757) 961-0606

Other identifiers 1

IdentifierTypeStateIssuer
8909156MedicaidVA

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
I20100918000207 VA Practitioner - Clinical Social Worker 5991820607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Schlichter Psychotherapy AssociatesGroup PAC ID 1850622598, 2 clinicians

Practice addresses (Care Compare)

4509 Colley Ave
Norfolk, VA 23508-2030
Phone (757) 828-1640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Schlichter Psychotherapy Associates CurrentSince Oct 1, 2019 Accepting new patients
Jewish Family Service of Tidewater, Incorporated Clinical PastSince May 1, 1993 Accepting new patients
Jewish Family Service of Tidewater, Incorporated Past Accepting new patients

Locations

4509 Colley Ave
Norfolk, VA 23508
Phone (757) 423-1933

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1417973439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 E VIRGINIA BEACH BLVD STE 300",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235022851",
            "telephone_number": "757-961-0606",
            "fax_number": "757-233-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E PLUME ST STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102325",
            "telephone_number": "757-828-1640",
            "fax_number": "757-210-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICHTER",
        "first_name": "JEAN",
        "middle_name": "BENZE",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909156",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.