Individual provider Active NPI

Cheryl Kabana-Ross, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1659386209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904001690 Issued in VA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8927090MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206001146 VA Practitioner - Clinical Social Worker 9830386655 Reassigns benefits to 1 organization

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
Rock Landing Psychological Group PLCGroup PAC ID 1052209954, 19 clinicians

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

OrganizationSpecialtyStatusNew patients
Rock Landing Psychological Group PLC Clinical CurrentSince Aug 10, 2010 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

Verify at the official NPI Registry.