Individual provider Active NPI

Sherie Regina Sims Mawusi, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1669539037
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004904 Issued in VA
Practice address
3221 Commander Shepard Blvd
Hampton, VA 23666-1598
Phone
(757) 244-3500
Fax
(757) 244-1103
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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 0904004904 VA Primary

Addresses

Primary practice location

3221 Commander Shepard Blvd
Hampton, VA 23666-1598

Mailing address

3221 Commander Shepard Blvd
Hampton, VA 23666-1598
Phone (757) 244-3500

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
I20130423000005 VA Practitioner - Clinical Social Worker 2062658990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Research Dr
Hampton, VA 23666-1324
Phone (757) 315-8039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004904VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Afi Outpatient Mental Health Services, Inc. Clinical CurrentSince Dec 28, 2015 Accepting new patients

Locations

15 Research Dr
Ste A
Hampton, VA 23666
Phone (757) 315-8039

15 Research Dr
Hampton, VA 23666
Phone (757) 315-8039

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1669539037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 COMMANDER SHEPARD BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661598",
            "telephone_number": "757-244-3500",
            "fax_number": "757-244-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 COMMANDER SHEPARD BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661598",
            "telephone_number": "757-244-3500",
            "fax_number": "757-244-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS MAWUSI",
        "first_name": "SHERIE",
        "middle_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.