Active NPI
Joel Bradley Fink, LSCW
- Clinical Social Worker
- Norfolk, VA
National Provider Identifier
1538241658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001991
- Practice address
- 443 Kempsville Rd
Norfolk, VA 23502-4727 - Phone
- (757) 455-6207
- Fax
- (757) 466-0767
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- 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 | 0904001991 | VA | Primary |
Addresses
Primary practice location
443 Kempsville Rd
Norfolk, VA 23502-4727
Mailing address
443 Kempsville Rd
Norfolk, VA 23502-4727
Phone (757) 455-6207
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001991 | VA | MD | Clinical Social Worker |
Organizations & group practices 1
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": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1538241658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 KEMPSVILLE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024727",
"telephone_number": "757-455-6207",
"fax_number": "757-466-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 KEMPSVILLE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235024727",
"telephone_number": "757-455-6207",
"fax_number": "757-466-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "JOEL",
"middle_name": "BRADLEY",
"credential": "LSCW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001991",
"primary": true
}
],
"identifiers": [],
"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 Jul 9, 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.