Organization Active NPI

Associates at York, Inc

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1497845333
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001615 Issued in VA
Legal business name
ASSOCIATES AT YORK, INC
Practice address
142 W York St
Suite 915
Norfolk, VA 23510-2015
Phone
(757) 313-5700
Fax
(757) 313-5702
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kathleen A HooperNPI 1598857872
Title
Clinical Director
Phone
(757) 313-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701002555 VA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904001615 VA Primary

Addresses

Primary practice location

142 W York St
Suite 915
Norfolk, VA 23510-2015

Mailing address

142 W York St
Suite 915
Norfolk, VA 23510-2015
Phone (757) 313-5700

Other identifiers 2

IdentifierTypeStateIssuer
008944075MedicaidVA
005414041MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131023000558 VA Part B Supplier - Clinic/Group Practice 3476788720 Receives reassigned benefits from 3 practitioners
Practice locations: Norfolk, VA

National Provider Directory

National Provider Directory

Locations

909 Glenrock Rd
Ste A
Norfolk, VA 23502
Phone (757) 313-5700

5900 E Virginia Beach Blvd
Ste 208
Norfolk, VA 23502
Phone (757) 313-5700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1497845333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 915",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-313-5700",
            "fax_number": "757-313-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 915",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-313-5700",
            "fax_number": "757-313-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES AT YORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-313-5700"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002555",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008944075",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005414041",
            "state": "VA"
        }
    ],
    "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 Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.