Individual provider Active NPI

Janet V. Marvel, L.C.S.W.

  • Clinical Social Worker
  • Poquoson, VA
National Provider Identifier
1700096864
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005956 Issued in VA
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

Updated by the provider on Mar 21, 2012

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 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

IdentifierTypeStateIssuer
245629OtherVACOMM PSYCH
178329OtherVAANTHEM BLUE CROSS
353122OtherVAMENTAL HEALTH NETWORK
010122538MedicaidVA
083246MOtherVASENTARA
353122OtherVATRI 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

LicenseStateTypeSpecialty
0904005956VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Betty Eastman, LCSW and Associates, Inc Clinical CurrentSince Sep 29, 2024 Accepting new patients
Tony Bruder, PH D & Associates P C PastSince Feb 15, 2015 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.

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.

Verify at the official NPI Registry.