Individual provider Active NPI

Phyllis Ann Pierce, LICSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1437333994
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008066 Issued in VA
Practice address
828 E Sparrow Road
Virginia Beach, VA 23464
Phone
(757) 615-9256
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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 0904008066 VA Primary

Addresses

Primary practice location

828 E Sparrow Road
Virginia Beach, VA 23464

Mailing address

828 E Sparrow Rd
Virginia Beach, VA 23464-1631
Phone (757) 615-9256

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
I20200604002253 VA Practitioner - Clinical Social Worker 5395006225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Wholehearted CounselingGroup PAC ID 5597011007, 10 clinicians

Practice addresses (Care Compare)

1642 Pleasure House Rd
Suite 102
Virginia Beach, VA 23455-4050
Phone (757) 578-2985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008066VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehearted Counseling Clinical CurrentSince Mar 1, 2020 Accepting new patients

Locations

1700 Pleasure House Rd
Ste 102A
Virginia Beach, VA 23455
Phone (757) 251-0879

1642 Pleasure House Rd
Ste 102
Virginia Beach, VA 23455
Phone (757) 578-2985

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1437333994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 E SPARROW RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234641631",
            "telephone_number": "757-615-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E SPARROW ROAD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23464",
            "telephone_number": "757-615-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "PHYLLIS",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.