Individual provider Active NPI

Nicole Drozd, MSW, MT-BC

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1649723065
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016376 Issued in VA
Practice address
4854 Haygood Rd Ste 100
Virginia Beach, VA 23455-5351
Phone
(757) 371-2700
Fax
(757) 644-1476
NPI assigned
Aug 2, 2016
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 09782 NY
Clinical Social Worker 1041C0700X 0904016376 VA Primary

Addresses

Primary practice location

4854 Haygood Rd Ste 100
Virginia Beach, VA 23455-5351

Mailing address

136 Kidd Blvd
Norfolk, VA 23502-5214
Phone (315) 489-1590

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
0904016376VAMDClinical Social Worker
09782NYMDMusic Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1649723065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 KIDD BLVD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235025214",
            "telephone_number": "315-489-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 HAYGOOD RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555351",
            "telephone_number": "757-371-2700",
            "fax_number": "757-644-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROZD",
        "first_name": "NICOLE",
        "credential": "MSW, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "NY",
            "license": "09782",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016376",
            "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 Feb 7, 2024; 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.