Active NPI
Deborah Sue Jones, LCSW
- Clinical Social Worker
- Chesapeake, VA
National Provider Identifier
1598305229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904011423
- Practice address
- 501 Cedar Rd Ste 2C
Chesapeake, VA 23322-5527 - Phone
- (757) 739-5037
- NPI assigned
- Jan 10, 2020
- Last updated
- Jan 10, 2020
- Sex
- Female
- 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 | 0904011423 | VA | Primary |
Addresses
Primary practice location
501 Cedar Rd Ste 2C
Chesapeake, VA 23322-5527
Mailing address
3575 Bridge Rd Ste 8
Suffolk, VA 23435-1800
Phone (757) 739-5037
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200430002712 | VA | Practitioner - Clinical Social Worker | 5597195743 | Practice locations: Virginia Beach, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904011423 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578614400000",
"number": "1598305229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 BRIDGE RD STE 8",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351800",
"telephone_number": "757-739-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 CEDAR RD STE 2C",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233225527",
"telephone_number": "757-739-5037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DEBORAH",
"middle_name": "SUE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-10",
"last_updated": "2020-01-10",
"certification_date": "2020-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904011423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.