Christie Lynn Van Pelt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003855 Issued in VA

Practice address

289 Independence Blvd
Ste 245
Virginia Beach, VA 23462-5493

Phone

(757) 437-6194

Fax

(757) 518-9713

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fairfield Psychological Assoc.Group PAC ID 0244268654, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fairfield Psychological Assoc.

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1801068606

  Clinical

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1720162555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "STE 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-437-6194",
            "fax_number": "757-518-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "STE 245",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-437-6194",
            "fax_number": "757-518-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "CHRISTIE",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valueoptions, Inc.
• Bradley J Van Buren
• Christa A Van Geluwe
• Leslie Dianne Van Houten
• Bailey Van Liew, BSN, RN
• Arryn Van Slyke, PHARMD
• Sophie Van Zee, RBT
• John Van, PHARM D
• Vanamberg PC
• Matthew Bradley Vanamberg, D.C.

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.

Verify at the official NPI Registry.