Active NPI
James Patrick Moriarty, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1710201645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904007327
- Practice address
- 3143 Magic Hollow Blvd
Suite 200
Virginia Beach, VA 23453-3077 - Phone
- (757) 385-4313
- NPI assigned
- Mar 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 0710102363 | VA | |
| Clinical Social Worker | 1041C0700X | 0904007327 | VA | Primary |
Addresses
Primary practice location
3143 Magic Hollow Blvd
Suite 200
Virginia Beach, VA 23453-3077
Mailing address
640 Declaration Rd
Virginia Beach, VA 23462-2253
Phone (757) 499-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171012003654 | VA | Practitioner - Clinical Social Worker | 7113292319 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associates at York Inc
Practice addresses (Care Compare)
5900 E Virginia Beach Blvd
Suite 208
Norfolk, VA 23502-9998
Phone (757) 313-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0710102363 | VA | MD | Addiction (Substance Use Disorder) Psychologist |
| 0904007327 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates at York, Inc | Clinical | Current | Accepting new patients |
| City of Virginia Beach | Past | Accepting new patients | |
| City of Virginia Beach | Past | Accepting new patients |
Locations
5900 E Virginia Beach Blvd
Ste 208
Norfolk, VA 23502
Phone (757) 313-5700
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/
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.
-
- Ambulance
- Virginia Beach, VA
- NPI 1013704246
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1861562472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269216000000",
"number": "1710201645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 DECLARATION RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622253",
"telephone_number": "757-499-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 MAGIC HOLLOW BLVD",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234533077",
"telephone_number": "757-385-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORIARTY",
"first_name": "JAMES",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2010-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710102363",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904007327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861562472",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.