Active NPI
Dennis Lee Derbaum, LCSW CSAC
- Addiction (Substance Use Disorder) Counselor
- Virginia Beach, VA
National Provider Identifier
1558324137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CSAC
- Practice address
- 780 Lynnhaven Pkwy
Suite 400 Atlantic Psychiatric Services
Virginia Beach, VA 23452-7332 - Phone
- (757) 468-0550
- Fax
- (757) 468-9992
- NPI assigned
- Apr 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSAC | VA | Primary |
| Mental Health Counselor | 101YM0800X | LCSW | VA |
Addresses
Primary practice location
780 Lynnhaven Pkwy
Suite 400 Atlantic Psychiatric Services
Virginia Beach, VA 23452-7332
Mailing address
780 Lynnhaven Pkwy
Suite 400
Virginia Beach, VA 23452-7332
Phone (757) 468-0550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86080M | Other | VA | SENTARA OPTIMA |
| 183809 | Other | VA | ANTHEM PPO BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSAC | VA | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapman Senior Care, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1558324137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY",
"address_2": "SUITE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "757-468-0550",
"fax_number": "757-468-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY",
"address_2": "SUITE 400 ATLANTIC PSYCHIATRIC SERVICES",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "757-468-0550",
"fax_number": "757-468-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERBAUM",
"first_name": "DENNIS",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "LCSW CSAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "CSAC",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "LCSW",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "86080M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO BCBS",
"identifier": "183809",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Angela Sayre Denton
- Jelina Rose Deocampo
- Dependable Transportation, LLC
- Dependable Wheelchair Transport, LLC
- Jamie Deputy, MSN, APRN, PMHNP-BC
- Paul M Derber, M.D.
- Derek D. Russell, D.C., Inc. (Nimmo Wellness)
- Jamie Lauren Dermatis, DPM
- Dermatology Inc. of Virginia Beach
- Derrick M. Broadaway, D.D.S., PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.