Individual provider Active NPI

Charlena Cuffee, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1689185100
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008179 Issued in VA
Practice address
200 Medical Dr Ste B
Hampton, VA 23666-1763
Phone
(757) 788-0200
Fax
(757) 788-0969
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 0904008179 VA Primary

Addresses

Primary practice location

200 Medical Dr Ste B
Hampton, VA 23666-1763

Mailing address

300 Medical Dr
Hampton, VA 23666-1765
Phone (757) 788-0300

Other identifiers 1

IdentifierTypeStateIssuer
1659424448MedicaidVA

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
I20180108001470 VA Practitioner - Clinical Social Worker 0244599728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008179VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hampton Newport News Community Services Board CurrentSince Oct 16, 2017 Accepting new patients

Locations

300 Medical Dr
Fl 2
Hampton, VA 23666
Phone (757) 788-0092

200 Medical Dr
#A
Hampton, VA 23666
Phone (757) 788-0200

600 Medical Dr
Ste Ab
Hampton, VA 23666
Phone (757) 788-0600

300 Medical Dr
Hampton, VA 23666
Phone (757) 788-0092

200 Medical Dr
#B
Hampton, VA 23666
Phone (757) 788-0200

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1689185100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661765",
            "telephone_number": "757-788-0300",
            "fax_number": "757-788-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR STE B",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661763",
            "telephone_number": "757-788-0200",
            "fax_number": "757-788-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUFFEE",
        "first_name": "CHARLENA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659424448",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.