Individual provider Active NPI

Miriam E Loewenbach, L.C.S.W.:B.C.D

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1700836954
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000485 Issued in VA
Practice address
1015 Eden Way N
Suite D
Chesapeake, VA 23320-2787
Phone
(757) 410-0072
Fax
(757) 410-7290
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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 0904000485 VA Primary

Addresses

Primary practice location

1015 Eden Way N
Suite D
Chesapeake, VA 23320-2787

Mailing address

5324 Westover LN
Virginia Beach, VA 23464-2455
Phone (757) 420-9344

Other names 1

  • Mrs. Miriam L Becker Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Center for Psychotherapy Clinical Past Accepting new patients

Organizations & group practices 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1700836954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 WESTOVER LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642455",
            "telephone_number": "757-420-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 EDEN WAY N",
            "address_2": "SUITE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202787",
            "telephone_number": "757-410-0072",
            "fax_number": "757-410-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWENBACH",
        "first_name": "MIRIAM",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.:B.C.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "BECKER",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.