Active NPI
Janet V. Marvel, L.C.S.W.
- Clinical Social Worker
- Poquoson, VA
National Provider Identifier
1700096864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005956
- Practice address
- 200 City Hall Ave.
# E
Poquoson, VA 23662 - Phone
- (757) 868-0072
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904005956 | VA | Primary |
Addresses
Primary practice location
200 City Hall Ave.
# E
Poquoson, VA 23662
Mailing address
3505 Bayside Ave
Norfolk, VA 23518-1417
Phone (757) 362-0394
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245629 | Other | VA | COMM PSYCH |
| 178329 | Other | VA | ANTHEM BLUE CROSS |
| 353122 | Other | VA | MENTAL HEALTH NETWORK |
| 010122538 | Medicaid | VA | |
| 083246M | Other | VA | SENTARA |
| 353122 | Other | VA | TRI CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904005956 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Betty Eastman, LCSW and Associates, Inc | Clinical | Current | Accepting new patients |
| Tony Bruder, PH D & Associates P C | Past | Accepting new patients | |
| Stephen E. Plotnick M.D., PLLC | Past | Accepting new patients |
Locations
370 Wythe Creek Rd
#C
Poquoson, VA 23662
Phone (757) 868-0072
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Poquoson, VA
- NPI 1164240305
-
- Specialist
- Virginia Beach, VA
- NPI 1164505459
-
- Marriage & Family Therapist
- Virginia Beach, VA
- NPI 1851483853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1700096864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 BAYSIDE AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235181417",
"telephone_number": "757-362-0394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CITY HALL AVE.",
"address_2": "# E",
"city": "POQUOSON",
"state": "VA",
"postal_code": "23662",
"telephone_number": "757-868-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARVEL",
"first_name": "JANET",
"middle_name": "V.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005956",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMM PSYCH",
"identifier": "245629",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "178329",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "353122",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010122538",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "083246M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE",
"identifier": "353122",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poquoson, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.