Individual provider Active NPI

Jasen M Eberz, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1538667258
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010333 Issued in VA
Practice address
400 N Center Dr Ste 100
Norfolk, VA 23502-0002
Phone
(757) 908-3754
NPI assigned
Jan 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 0904010333 VA Primary

Addresses

Primary practice location

400 N Center Dr Ste 100
Norfolk, VA 23502-0002

Mailing address

3977 Pleasant Valley Rd
Virginia Beach, VA 23464-8863
Phone (703) 801-1923

Other practice location 1

3977 Pleasant Valley Rd
Virginia Beach, VA 23464-8863
Phone (703) 801-1923

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
I20181008001552 VA Practitioner - Clinical Social Worker 6406108182 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Virginia Psychiatry PLLCGroup PAC ID 2961944988, 13 clinicians

Practice addresses (Care Compare)

400 N Ctr Dr
Suite 201
Norfolk, VA 23502-0003
Phone (757) 663-3662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010333VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norfolk Psychiactric Associates PC CurrentSince Mar 1, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Aug 9, 2018 Accepting new patients
Southeast Virginia Psychiatry PLLC CurrentSince Jan 3, 2025 Accepting new patients

Locations

400 N Center Dr
Ste 201
Norfolk, VA 23502
Phone (757) 663-3662

6353 Center Dr
Ste 204
Norfolk, VA 23502
Phone (757) 461-3313

400 N Center Dr
Ste 100
Norfolk, VA 23502
Phone (757) 908-3754

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

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": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1538667258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 PLEASANT VALLEY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648863",
            "telephone_number": "703-801-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CENTER DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020002",
            "telephone_number": "757-908-3754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3977 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234648863",
            "country_code": "US",
            "telephone_number": "703-801-1923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERZ",
        "first_name": "JASEN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-28",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.