Individual provider Active NPI

Caroline G Slone, LCSW

  • Clinical Social Worker
  • Portsmouth, VA
National Provider Identifier
1790770212
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003047 Issued in VA
Practice address
107 Poplar LN
Portsmouth, VA 23701-1127
Phone
(757) 646-6431
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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 0904003047 VA Primary

Addresses

Primary practice location

107 Poplar LN
Portsmouth, VA 23701-1127

Mailing address

107 Poplar LN
Portsmouth, VA 23701-1127
Phone (757) 646-6431

Other identifiers 4

IdentifierTypeStateIssuer
143683OtherVAANTHEM TRIGON
083109OtherVASENTARA/OPTIMA
254613000OtherVAMAGELLEAN
238962OtherVAMAMSI UNITED HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090330000277 VA Practitioner - Clinical Social Worker 6800953241 Reassigns benefits to 2 organizations
I20241205001306 DC Practitioner - Clinical Social Worker 6800953241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians
Wholehearted CounselingGroup PAC ID 5597011007, 10 clinicians

Practice addresses (Care Compare)

Alexandria, VA 22315
Phone (855) 241-7160

Portsmouth, VA 23707
Phone (855) 241-7160

1642 Pleasure House Rd
Suite 102
Virginia Beach, VA 23455-4050
Phone (757) 578-2985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904003047VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wholehearted Counseling Clinical CurrentSince Sep 9, 2021 Accepting new patients
BMSC Az LLC Clinical CurrentSince Aug 20, 2024 Accepting new patients
Christian Psychotherapy Services PastSince Jun 1, 1999 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

15064 Carrollton Blvd
Ste 19
Carrollton, VA 23314
Phone (757) 373-3953

1642 Pleasure House Rd
Ste 102
Virginia Beach, VA 23455
Phone (757) 578-2985

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1790770212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 POPLAR LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011127",
            "telephone_number": "757-646-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 POPLAR LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237011127",
            "telephone_number": "757-646-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRIGON",
            "identifier": "143683",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "083109",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLEAN",
            "identifier": "254613000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI UNITED HEALTHCARE",
            "identifier": "238962",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.