Individual provider Active NPI

Jamie Legendre, LRSW

  • Social Worker
  • Virginia Beach, VA
National Provider Identifier
1609446947
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904015951 Issued in VA
Practice address
505 S Independence Blvd Ste 213
Virginia Beach, VA 23452-1150
Phone
(757) 376-8167
Fax
(757) 452-4447
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0904015951 VA Primary

Addresses

Primary practice location

505 S Independence Blvd Ste 213
Virginia Beach, VA 23452-1150

Mailing address

745 Abbey Dr
Virginia Beach, VA 23455-6530

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

State licenses

LicenseStateTypeSpecialty
0904015951VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Counseling and Psychotherapy LLC CurrentSince Jul 4, 2021 Accepting new patients
Sunshine & Glory Counseling PLLC PastSince Jul 4, 2021 Accepting new patients

Locations

505 S Independence Blvd
Ste 213
Virginia Beach, VA 23452
Phone (757) 376-8167

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": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1609446947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 ABBEY DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD STE 213",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-376-8167",
            "fax_number": "757-452-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGENDRE",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "LRSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904015951",
            "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 Nov 3, 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.