Individual provider Active NPI

Glennett Fleming, LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1700764735
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904018752 Issued in VA
Practice address
707 Gittings St Ste 120
Suffolk, VA 23434-6101
Phone
(757) 514-3248
Fax
(757) 809-5387
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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 0904018752 VA Primary

Addresses

Primary practice location

707 Gittings St Ste 120
Suffolk, VA 23434-6101

Mailing address

2446 Whitman St
Chesapeake, VA 23321-2251
Phone (757) 227-7393

Other practice location 1

4037 Taylor Rd Ste A
Chesapeake, VA 23321-5500
Phone (757) 777-9336

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904018752VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wishing Well Counseling Center, PLLC CurrentSince Sep 3, 2025 Accepting new patients
Wishing Well Mental Health Services, LLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

4037 Taylor Rd
Ste A
Chesapeake, VA 23321
Phone (757) 483-1403

707 Gittings St
Ste 120
Suffolk, VA 23434
Phone (757) 514-3248

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1700764735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 WHITMAN ST",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233212251",
            "telephone_number": "757-227-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 GITTINGS ST STE 120",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234346101",
            "telephone_number": "757-514-3248",
            "fax_number": "757-809-5387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 Taylor Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233215500",
            "country_code": "US",
            "telephone_number": "757-777-9336",
            "fax_number": "757-966-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "GLENNETT",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.