Individual provider Active NPI

Syreeta Dawkins, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1487083275
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008383 Issued in VA
Practice address
2 Eaton St Ste 502
Hampton, VA 23669-4055
Phone
(757) 535-9080
Fax
(757) 257-8959
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 0904008383 VA Primary

Addresses

Primary practice location

2 Eaton St Ste 502
Hampton, VA 23669-4055

Mailing address

2 Eaton St Ste 502
Hampton, VA 23669-4055
Phone (757) 535-9080

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
I20250122000090 VA Practitioner - Clinical Social Worker 4486942034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Eaton St
Suite 502
Hampton, VA 23669-4055
Phone (757) 535-9080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teachable Moments Therapy Group CurrentSince Nov 1, 2024 Accepting new patients
Uplift & Inspire, LLC. PastSince Jan 26, 2022 Accepting new patients

Locations

2 Eaton St
Ste 502
Hampton, VA 23669
Phone (757) 535-9080

2019 Cunningham Dr
Ste 101
Hampton, VA 23666
Phone (757) 717-6353

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1487083275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 502",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694055",
            "telephone_number": "757-535-9080",
            "fax_number": "757-257-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EATON ST STE 502",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236694055",
            "telephone_number": "757-535-9080",
            "fax_number": "757-257-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "SYREETA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-02",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.