Active NPI
Judith Griffin, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1730258328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000602
- Practice address
- 2580 Potters Rd
Virginia Beach, VA 23454-4324 - Phone
- (757) 498-9391
- Fax
- (757) 498-7073
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000602 | VA | Primary |
Addresses
Primary practice location
2580 Potters Rd
Virginia Beach, VA 23454-4324
Mailing address
2580 Potters Rd
Virginia Beach, VA 23454-4324
Phone (757) 498-9391
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431691 | Other | VA | BCBS |
| O817965 | Other | VA | SENTARA |
| 008923892 | 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 |
|---|---|---|---|---|
| I20090225000458 | VA | Practitioner - Clinical Social Worker | 4880750900 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Counseling Center Inc | Clinical | Current | Accepting new patients |
| Ronald W. Atwood, M.D., P.C. | Past | Accepting new patients |
Locations
809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605
1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
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.
-
dba Atwood Family Medical Center
- Family Medicine Physician
- Chesapeake, VA
- NPI 1982637575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730258328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 POTTERS RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544324",
"telephone_number": "757-498-9391",
"fax_number": "757-498-7073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 POTTERS RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544324",
"telephone_number": "757-498-9391",
"fax_number": "757-498-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "JUDITH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000602",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "431691",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "O817965",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008923892",
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.