Active NPI
Donna J Hutzler, LCSW
- Clinical Social Worker
- Hampton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006977
- Practice address
- 414 Algonquin Rd
Hampton, VA 23661-1605 - Phone
- (757) 722-9881
- NPI assigned
- Mar 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 0904006977 | VA | Primary |
Addresses
Primary practice location
414 Algonquin Rd
Hampton, VA 23661-1605
Mailing address
5342 Merganser Cir
Gloucester, VA 23061-3648
Phone (804) 694-7143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904006977 | Other | VA | LICENSE |
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 |
|---|---|---|---|---|
| I20190405001648 | VA | Practitioner - Clinical Social Worker | 1355682048 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 Houston St
Staunton, VA 24401-3525
Phone (888) 365-6271
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.28 of 100
- Quality
- 67.11
- Improvement activities
- 40
- Cost
- 74.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006977 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Southeast LLC | Single Specialty | Current | Accepting new patients |
Locations
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
512 Houston St
Staunton, VA 24401
Phone (540) 886-2335
340 Lynn Shores Dr
Virginia Beach, VA 23452
Phone (757) 340-6611
1811 Jamestown Rd
Williamsburg, VA 23185
Phone (757) 229-9991
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1740748938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5342 MERGANSER CIR",
"city": "GLOUCESTER",
"state": "VA",
"postal_code": "230613648",
"telephone_number": "804-694-7143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 ALGONQUIN RD",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236611605",
"telephone_number": "757-722-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTZLER",
"first_name": "DONNA",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-06",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0904006977",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.