Active NPI
Dr. James W. Eisenhower, PH.D, LCSW, LLC
- Clinical Social Worker
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000683
- Legal business name
- DR. JAMES W. EISENHOWER, PH.D, LCSW, LLC
- Practice address
- 281 Independence Blvd
#305
Virginia Beach, VA 23462-2986 - Phone
- (757) 373-6051
- Fax
- (757) 497-1327
- NPI assigned
- May 12, 2007
- Last updated
- Aug 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James W. Eisenhower, PH.D.
- Title
- LCSW
- Phone
- (757) 373-6051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000683 | VA | Primary |
Addresses
Primary practice location
281 Independence Blvd
#305
Virginia Beach, VA 23462-2986
Mailing address
281 Independence Blvd
#305
Virginia Beach, VA 23462-2986
Phone (757) 373-6051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952407900 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
732 Thimble Shoals Blvd
Ste 902
Newport News, VA 23606
Phone (757) 373-6051
281 Independence Blvd
Ste 305
Virginia Beach, VA 23462
Phone (757) 373-6051
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1952407900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186099200000",
"number": "1720293772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "#305",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-373-6051",
"fax_number": "757-497-1327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 INDEPENDENCE BLVD",
"address_2": "#305",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622986",
"telephone_number": "757-373-6051",
"fax_number": "757-497-1327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JAMES W. EISENHOWER, PH.D, LCSW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-12",
"last_updated": "2007-08-03",
"status": "A",
"authorized_official_last_name": "EISENHOWER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "757-373-6051",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000683",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952407900",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Dr. Adam M. Hogan D.D.S.,PC
- Dr. Bruce K. Barr , D.D.S., P.C.
- Dr. David Gilbert & Associates, Optometrist, PC (Gilbert Eyecare)
- Dr. Elizabeth J. Resnick, D.D.S., P.C.
- Dr. Gregory a. Schrumpf and Associatets
- Dr. Jeffrey S. Katz, PHD, PC
- Dr. Kenneth a Lebow
- Dr. Kevin Finnerty
- Dr. M.E. Jackson Optometrist PC
- Dr. Michael Geheren (New Life Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.