Active NPI
Zoe A Goranson, LCSW
- Social Worker
- Norfolk, VA
National Provider Identifier
1457454068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904002752
- Practice address
- 420 N Center Dr
Suite 141
Norfolk, VA 23502-4007 - Phone
- (757) 466-0700
- Fax
- (757) 461-4826
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904002752 | VA | Primary |
Addresses
Primary practice location
420 N Center Dr
Suite 141
Norfolk, VA 23502-4007
Mailing address
420 N Center Dr
Suite 141
Norfolk, VA 23502-4007
Phone (757) 466-0700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002752 | VA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reboot Functional Health Care Corporation | Current | Accepting new patients | |
| Psychiatric Services, P.C. | Past | Accepting new patients | |
| City of Virginia Beach | Past | Accepting new patients | |
| City of Virginia Beach | Past | Accepting new patients | |
| Finney Psychotherapy Associates Iop | Past | Accepting new patients |
Locations
2528 Las Brisas Dr
Virginia Beach, VA 23456
Phone (757) 301-6985
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/
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.
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1427709526
-
- Ambulance
- Virginia Beach, VA
- NPI 1013704246
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1861562472
-
- Addiction (Substance Use Disorder) Counselor
- Norfolk, VA
- NPI 1619092319
-
- Psychologist
- Virginia Beach, VA
- NPI 1134283310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457454068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N CENTER DR",
"address_2": "SUITE 141",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024007",
"telephone_number": "757-466-0700",
"fax_number": "757-461-4826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N CENTER DR",
"address_2": "SUITE 141",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024007",
"telephone_number": "757-466-0700",
"fax_number": "757-461-4826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORANSON",
"first_name": "ZOE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904002752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.