Individual provider Active NPI

Donna J Hutzler, LCSW

  • Clinical Social Worker
  • Hampton, VA
National Provider Identifier
1740748938
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006977 Issued in VA
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

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0904006977OtherVALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Deer Oaks Southeast LLCGroup PAC ID 7719251875, 8 clinicians

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 100Reported as group
Quality
67.11
Improvement activities
40
Cost
74.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006977VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Southeast LLC Single Specialty CurrentSince Mar 6, 2019 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

Verify at the official NPI Registry.