Individual provider Active NPI

Emily Beth Bachardy, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1538875141
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014854 Issued in VA
Practice address
510 S. Independence Blvd.
Suite 200
Virginia Beach, VA 23452-1155
Phone
(757) 568-0559
Fax
(757) 260-9330
NPI assigned
Jan 26, 2023
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 64770 TX
Clinical Social Worker 1041C0700X 0904014854 VA Primary

Addresses

Primary practice location

510 S. Independence Blvd.
Suite 200
Virginia Beach, VA 23452-1155

Mailing address

510 S. Independence Blvd.
Suite 200
Virginia Beach, VA 23452-1155
Phone (757) 568-0559

Other names 1

  • Ms. Emily Beth Casebolt-Simon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 8, 2025 through May 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64770TXMDClinical Social Worker
0904014854VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Truth Counseling, PLLC Clinical Current Accepting new patients
Atlantic Family and Adolescent Therapy, PLLC PastSince Jan 1, 2023 Accepting new patients
Seven Cities Therapy, PLLC Clinical PastSince May 21, 2023 Accepting new patients

Locations

510 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 230-0529

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, 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": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1538875141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S. INDEPENDENCE BLVD.",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521155",
            "telephone_number": "757-568-0559",
            "fax_number": "757-260-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S. INDEPENDENCE BLVD.",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521155",
            "telephone_number": "757-568-0559",
            "fax_number": "757-260-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHARDY",
        "first_name": "EMILY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "64770",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CASEBOLT-SIMON",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.