Individual provider Active NPI

Virginia Ann Stanley, LCSW, CSAC

  • Clinical Social Worker
  • Chesapeake, VA
National Provider Identifier
1760999775
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010269 Issued in VA
Practice address
4545 Ashland Dr
Chesapeake, VA 23321-5221
Phone
(757) 572-0902
NPI assigned
Dec 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103199 VA
Clinical Social Worker 1041C0700X 0904010269 VA Primary

Addresses

Primary practice location

4545 Ashland Dr
Chesapeake, VA 23321-5221

Mailing address

4545 Ashland Dr
Chesapeake, VA 23321-5221
Phone (757) 572-0902

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
I20180508001410 VA Practitioner - Clinical Social Worker 2466716089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Psychotherapy, Inc.Group PAC ID 9234491192, 4 clinicians

Practice addresses (Care Compare)

425 W Washington St
Suite 4
Suffolk, VA 23434-5320
Phone (757) 809-5376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710103199VAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Psychotherapy, Inc. Clinical CurrentSince Apr 1, 2018 Accepting new patients

Locations

425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607

114 N Main St
Ste 102
Suffolk, VA 23434
Phone (757) 809-5376

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1760999775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 ASHLAND DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215221",
            "telephone_number": "757-572-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 ASHLAND DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215221",
            "telephone_number": "757-572-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103199",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.