Individual provider Active NPI

Jane G Warden, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1447270194
Registry record updated Dec 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001465 Issued in VA
Practice address
933 First Colonial Rd
Suite 202
Virginia Beach, VA 23454-3172
Phone
(757) 428-0483
Fax
(757) 428-8836
NPI assigned
Jul 19, 2006
Last updated
Dec 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 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 0904001465 VA Primary

Addresses

Primary practice location

933 First Colonial Rd
Suite 202
Virginia Beach, VA 23454-3172

Mailing address

PO Box 13296
Suite 202
Chesapeake, VA 23325-0296
Phone (757) 714-1838

Other identifiers 1

IdentifierTypeStateIssuer
8906394MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904001465VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ellen R Zaldo, Ms, LPC, PC PastSince Jun 1, 1993 Accepting new patients

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483142400000",
    "number": "1447270194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13296",
            "address_2": "SUITE 202",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233250296",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "SUITE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-428-0483",
            "fax_number": "757-428-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "JANE",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8906394",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.