Individual provider Active NPI

Lynette S Widgeon-Hammonds, LCSW

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1477529816
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001785 Issued in VA
Practice address
640 Independence Pkwy
100
Chesapeake, VA 23320-5205
Phone
(757) 420-0530
Fax
(757) 420-0488
NPI assigned
Feb 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 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 0904001785 VA Primary

Addresses

Primary practice location

640 Independence Pkwy
100
Chesapeake, VA 23320-5205

Mailing address

5324 Alton Dr
Virginia Beach, VA 23464-5902
Phone (757) 420-0530

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
I20060201000642 VA Practitioner - Clinical Social Worker 8527072271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Psychological Associates, LLCGroup PAC ID 8022155100, 6 clinicians

Practice addresses (Care Compare)

640 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5205
Phone (757) 420-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Psychological Associates, LLC CurrentSince Dec 22, 2014 Accepting new patients
Elizabeth McGinnis LPC LMFT LLC Past Accepting new patients
Tidewater Psychotherapy Services PastSince Jul 24, 2022 Accepting new patients

Locations

640 Independence Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 420-0530

6465 College Park Sq
Ste 210
Virginia Beach, VA 23464
Phone (757) 336-8356

Interoperability endpoints

  • Direct secure messaging: lynette.widgeon-hammonds.1@24900.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4

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": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1477529816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 ALTON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645902",
            "telephone_number": "757-420-0530",
            "fax_number": "757-420-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 INDEPENDENCE PKWY",
            "address_2": "100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205205",
            "telephone_number": "757-420-0530",
            "fax_number": "757-420-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDGEON-HAMMONDS",
        "first_name": "LYNETTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-26",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.