Active NPI
Eileen Kulp, L.C.S.W
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1487745378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000838
- Practice address
- 2208 Executive Dr
Suite E
Hampton, VA 23666-6603 - Phone
- (757) 826-7516
- Fax
- (757) 825-7351
- NPI assigned
- Sep 27, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000838 | VA | Primary |
Addresses
Primary practice location
2208 Executive Dr
Suite E
Hampton, VA 23666-6603
Mailing address
2208 Executive Dr
Suite C
Hampton, VA 23666-6603
Phone (757) 826-7516
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175950 | Other | VA | ANTHEM BCBS HEALTHKEEPERS |
| O84920M | Other | VA | SENTARA/OPTIMA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487745378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 EXECUTIVE DR",
"address_2": "SUITE C",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666603",
"telephone_number": "757-826-7516",
"fax_number": "757-826-6232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 EXECUTIVE DR",
"address_2": "SUITE E",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666603",
"telephone_number": "757-826-7516",
"fax_number": "757-825-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULP",
"first_name": "EILEEN",
"credential": "L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS HEALTHKEEPERS",
"identifier": "175950",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "O84920M",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hampton, 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.