Mary Hoyt Witwer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001784 Issued in VA

Practice address

289 Independence Blvd
Pembroke 3 Ste 138
Virginia Beach, VA 23462-5493

Phone

(757) 437-6150

Fax

(757) 671-8536

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/

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.

• City of Virginia Beach

  • Ambulance
  • Virginia Beach, VA
  • NPI 1013704246
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811070519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 CALUMET DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234568216",
            "telephone_number": "757-426-5149",
            "fax_number": "757-671-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE 3 STE 138",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625493",
            "telephone_number": "757-437-6150",
            "fax_number": "757-671-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITWER",
        "first_name": "MARY",
        "middle_name": "HOYT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "088086",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "270013",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Catherine Wiseman, BS, BCACA, LABA
• David Francis Wisenauer, LPC
• Shane Wisenburg, RBT
• Within Our Reach LLC
• Samuel H Wittenberg, MD
• Ava Woessner
• Carmen Wolf
• Monford Wolf, MD
• Jeanene Jacobs Wolfe, LCSW
• Megan Wolfe, BCBA

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.