Individual provider Active NPI

Leah Kennedy, MSW, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1699183012
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008565 Issued in VA
Practice address
6345 Center Dr BLDG 14
Norfolk, VA 23502-4126
Phone
(757) 407-3518
NPI assigned
Jul 29, 2014
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 0904008565 VA Primary

Addresses

Primary practice location

6345 Center Dr BLDG 14
Norfolk, VA 23502-4126

Mailing address

6345 Center Dr BLDG 14
Norfolk, VA 23502-4126
Phone (757) 407-3518

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
I20190812002157 VA Practitioner - Clinical Social Worker 5395072425 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
National Counseling Group, Inc CurrentSince Jun 10, 2019 Accepting new patients
National Counseling Group, Inc CurrentSince Jun 10, 2019 Accepting new patients
National Counseling Group, Inc Past Accepting new patients

Locations

6345 Center Dr
Bldg 14
Norfolk, VA 23502
Phone (757) 461-4027

3922 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 776-0716

4099 Foxwood Dr
Ste 200
Virginia Beach, VA 23462
Phone (757) 332-1065

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1699183012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 CENTER DR BLDG 14",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024126",
            "telephone_number": "757-407-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6345 CENTER DR BLDG 14",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024126",
            "telephone_number": "757-407-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "LEAH",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.