Active NPI
Erik E Menjivar, LCSW
- Clinical Social Worker
- Hampton, VA
National Provider Identifier
1568779734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C009186
- Practice address
- 2208 Executive Dr
Hampton, VA 23666-6603 - Phone
- (757) 827-7707
- NPI assigned
- Sep 8, 2010
- 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 | C009186 | NC | Primary |
Addresses
Primary practice location
2208 Executive Dr
Hampton, VA 23666-6603
Mailing address
2202 Executive Dr Ste C
Hampton, VA 23666-6604
Phone (757) 827-7707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009186 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Center, Inc. | Clinical | Current | Accepting new patients |
Locations
2208 Executive Dr
Hampton, VA 23666
Phone (757) 720-2210
2202 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 838-5055
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1568779734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 EXECUTIVE DR STE C",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666604",
"telephone_number": "757-827-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 EXECUTIVE DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666603",
"telephone_number": "757-827-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENJIVAR",
"first_name": "ERIK",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C009186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.