Active NPI
Cheryl Kabana-Ross, LCSW
- Clinical Social Worker
- Newport News, VA
National Provider Identifier
1659386209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001690
- Practice address
- 753 Thimble Shoals Blvd
Suite 2a
Newport News, VA 23606-3564 - Phone
- (757) 594-9701
- Fax
- (757) 594-9830
- NPI assigned
- Jul 30, 2006
- 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 | 0904001690 | VA | Primary |
Addresses
Primary practice location
753 Thimble Shoals Blvd
Suite 2a
Newport News, VA 23606-3564
Mailing address
753 Thimble Shoals Blvd
Suite 2a
Newport News, VA 23606-3564
Phone (757) 594-9701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8927090 | Medicaid | VA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11825 Rock Landing Dr
Newport News, VA 23606-4236
Phone (757) 873-1736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Landing Psychological Group PLC | Clinical | Current | Accepting new patients |
Locations
11825 Rock Landing Dr
Newport News, VA 23606
Phone (757) 873-1736
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": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659386209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 THIMBLE SHOALS BLVD",
"address_2": "SUITE 2A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063564",
"telephone_number": "757-594-9701",
"fax_number": "757-594-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 THIMBLE SHOALS BLVD",
"address_2": "SUITE 2A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236063564",
"telephone_number": "757-594-9701",
"fax_number": "757-594-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABANA-ROSS",
"first_name": "CHERYL",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8927090",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.