Active NPI
Lynnelle Renee' Harrell, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1619206844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007188
- Practice address
- 281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986 - Phone
- (757) 490-0377
- NPI assigned
- Dec 17, 2009
- 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 | 0904007188 | VA | Primary |
Addresses
Primary practice location
281 Independence Blvd
Suite 326
Virginia Beach, VA 23462-2986
Mailing address
1000 Richardson Run Apt H
Williamsburg, VA 23188-3919
Phone (804) 980-5763
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904007188 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Decision Tree, LLC | Clinical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322352000000",
"number": "1619206844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RICHARDSON RUN APT H",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231883919",
"telephone_number": "804-980-5763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "SUITE 326",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-490-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "LYNNELLE",
"middle_name": "RENEE'",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-17",
"last_updated": "2011-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007188",
"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 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.