Individual provider Active NPI

Bettyann Gray-Henson, MSW, QMHP-C

  • Social Worker
  • Virginia Beach, VA
National Provider Identifier
1558067603
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178
Phone
(757) 490-6463
NPI assigned
Jan 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

508 S Independence Blvd Ste 200
Virginia Beach, VA 23452-1178

Mailing address

2916 Middle Towne Cres
Norfolk, VA 23504-4053
Phone (757) 587-5615

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Health Services LLC Single Specialty CurrentSince Feb 8, 2023 Accepting new patients
Transformation Health Services LLC PastSince Feb 8, 2023 Accepting new patients

Locations

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

Organizations & group practices 2

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": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1558067603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 MIDDLE TOWNE CRES",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235044053",
            "telephone_number": "757-587-5615",
            "fax_number": "757-587-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S INDEPENDENCE BLVD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521178",
            "telephone_number": "757-490-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY-HENSON",
        "first_name": "BETTYANN",
        "credential": "MSW, QMHP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.