Active NPI
Elaine Scholl-Iglecia, L.C.S.W.
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1871608745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904000410
- Practice address
- 6477 College Park SQ
Suite 302
Virginia Beach, VA 23464-3611 - Phone
- (757) 424-0100
- Fax
- (757) 424-5623
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- 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 | 0904000410 | VA | Primary |
Addresses
Primary practice location
6477 College Park SQ
Suite 302
Virginia Beach, VA 23464-3611
Mailing address
1232 Hartford Dr
Virginia Beach, VA 23464-5845
Phone (757) 495-3463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909181 | Medicaid | VA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871608745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 HARTFORD DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234645845",
"telephone_number": "757-495-3463",
"fax_number": "757-495-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6477 COLLEGE PARK SQ",
"address_2": "SUITE 302",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643611",
"telephone_number": "757-424-0100",
"fax_number": "757-424-5623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOLL-IGLECIA",
"first_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904000410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909181",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Matthew Schneider, IDC
- Joseph Scott Schober
- Renee Binder Schoenfeld, M.D.
- Melissa Schoenle
- Kathryn Grace Scholefield, MSAT
- Schonbrun Dental Care (a division of Atlantic Dental Care)
- David William Schonbrun, D.D.S.
- School of Esthetics and Research Inc. (Epidermal Recovery Center)
- Jensen Schoonover
- Andrea Schott, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.