Individual provider Active NPI

Kerry J Boone-Savinsky, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1467425470
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005305 Issued in VA
Practice address
228 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-7514
Phone
(757) 912-6214
Fax
(757) 321-6269
NPI assigned
Feb 9, 2006
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 0904005305 VA Primary

Addresses

Primary practice location

228 N Lynnhaven Rd Ste 110
Virginia Beach, VA 23452-7514

Mailing address

3419 Virginia Beach Blvd # 800
Virginia Beach, VA 23452-4419
Phone (757) 714-1838

Other identifiers 9

IdentifierTypeStateIssuer
278445OtherANTHEM HEALTH KEEPERS
P00129392OtherMCARE RAILROAD
278445OtherANTHEM PPO
327264OtherMANAGED HEALTH NETWORK
2109308OtherMAMSI
008952833MedicaidVA
081722MOtherSENTARA OPTIMA
221420OtherCOM PSYCH
560284OtherMAGELLAN

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
I20110714000230 VA Practitioner - Clinical Social Worker 4082882212 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904005305VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Therapy & Consulting PLLC CurrentSince May 1, 2013 Accepting new patients
Atlantic Psychiatric Services Past Accepting new patients

Locations

228 N Lynnhaven Rd
Ste 110
Virginia Beach, VA 23452
Phone (757) 340-6100

3419 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 255-8454

4560 South Blvd
Ste 202
Virginia Beach, VA 23452
Phone (757) 340-6100

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1467425470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 VIRGINIA BEACH BLVD # 800",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524419",
            "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": "228 N LYNNHAVEN RD STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527514",
            "telephone_number": "757-912-6214",
            "fax_number": "757-321-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE-SAVINSKY",
        "first_name": "KERRY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH KEEPERS",
            "identifier": "278445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE RAILROAD",
            "identifier": "P00129392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PPO",
            "identifier": "278445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "327264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2109308",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008952833",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA OPTIMA",
            "identifier": "081722M",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "221420",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "560284",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.