Individual provider Active NPI

Debra Friedman Mayer, MSSW, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1699735308
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000703 Issued in VA
Practice address
5000 Corporate Woods Dr
Suite 400
Virginia Beach, VA 23462-4429
Phone
(757) 459-4640
Fax
(757) 459-4643
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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 0904000703 VA Primary

Addresses

Primary practice location

5000 Corporate Woods Dr
Suite 400
Virginia Beach, VA 23462-4429

Mailing address

5000 Corporate Woods Dr
Suite 400
Virginia Beach, VA 23462-4429
Phone (757) 459-4640

Other identifiers 2

IdentifierTypeStateIssuer
8909130MedicaidVA
386789OtherVABLUE CROSS

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
I20041015000180 VA Practitioner - Clinical Social Worker 2668432402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Louisville School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family Service of Tidewater, IncorporatedGroup PAC ID 2365356169, 7 clinicians

Practice addresses (Care Compare)

260 Grayson Rd
Suite 200
Virginia Beach, VA 23462-4345
Phone (757) 459-4640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of Tidewater, Incorporated Clinical CurrentSince May 31, 1993 Accepting new patients
Jewish Family Service of Tidewater, Incorporated CurrentSince May 31, 1993 Accepting new patients

Locations

7300 Newport Ave
Norfolk, VA 23505
Phone (757) 459-4640

260 Grayson Rd
Ste 200
Virginia Beach, VA 23462
Phone (757) 459-4640

5000 Corporate Woods Dr
Ste 400
Virginia Beach, VA 23462
Phone (757) 459-4640

Organizations & group practices 2

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1699735308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR",
            "address_2": "SUITE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-459-4640",
            "fax_number": "757-459-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CORPORATE WOODS DR",
            "address_2": "SUITE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624429",
            "telephone_number": "757-459-4640",
            "fax_number": "757-459-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "DEBRA",
        "middle_name": "FRIEDMAN",
        "name_prefix": "Ms.",
        "credential": "MSSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909130",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "386789",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.