Individual provider Active NPI

Rhonda Laruth Yancey, LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1760895643
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008622 Issued in VA
Practice address
129 N Saratoga St Ste 1
Suffolk, VA 23434-5255
Phone
(757) 539-5353
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008622 VA Primary

Addresses

Primary practice location

129 N Saratoga St Ste 1
Suffolk, VA 23434-5255

Mailing address

3255 Galberry Rd
Chesapeake, VA 23323-1302
Phone (757) 319-2758

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
I20161024000033 VA Practitioner - Clinical Social Worker 1759669971 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008622VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformation Health Services LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
Legacy Mental Health Consulting Services Clinical CurrentSince Jun 15, 2024 Accepting new patients
Transformation Health Services LLC Clinical Past Accepting new patients

Locations

508 S Independence Blvd
Ste 200
Virginia Beach, VA 23452
Phone (757) 490-6463

Organizations & group practices 3

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1760895643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 GALBERRY RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231302",
            "telephone_number": "757-319-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N SARATOGA ST STE 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234345255",
            "telephone_number": "757-539-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "RHONDA",
        "middle_name": "LARUTH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.