Mary Jo Sterbank McGovern, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

324 Monticello Ave
Williamsburg, VA 23185-2834

Phone

(757) 503-7917

Fax

(855) 823-3243

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Compassionate Heartspace, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Williamsburg, VA
  • NPI 1497561088
  Medicare reassignment NPD Authorized official
• Massey Clinic LTD

  • Internal Medicine Physician
  • Williamsburg, VA
  • NPI 1467567537
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1801585443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 NOTTINGHAM RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231854913",
            "telephone_number": "757-345-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MONTICELLO AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852834",
            "telephone_number": "757-503-7917",
            "fax_number": "855-823-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Henry St",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231854137",
            "country_code": "US",
            "telephone_number": "757-345-8651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "MARY JO",
        "middle_name": "STERBANK",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Marie McDonough, M.D.
• Chad Shawntal McDuffie, LDO
• Christine McElroy, RDN
• John Patrick McGee, MD
• Tahisha McGibony
• Susan M. McGowen, LPTA
• Susan Henderson McHenry, LCSW
• Alyse Helene Ergood McKeal, LCSW
• John Daniel McKeal, MS
• Kristi McKittrick, SPECIALIST

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.