Active NPI
Judy M Nozzarella, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1780950832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002621
- Practice address
- 310 Caspian Ave
Virginia Beach, VA 23451-4766 - Phone
- (757) 422-2675
- NPI assigned
- Mar 22, 2012
- 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 | 0904002621 | VA | Primary |
Addresses
Primary practice location
310 Caspian Ave
Virginia Beach, VA 23451-4766
Mailing address
310 Caspian Ave
Virginia Beach, VA 23451-4766
Phone (757) 422-2675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904002621 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1780950832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 CASPIAN AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234514766",
"telephone_number": "757-422-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CASPIAN AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234514766",
"telephone_number": "757-422-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOZZARELLA",
"first_name": "JUDY",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002621",
"primary": true
}
],
"identifiers": [],
"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 Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.