Individual provider Active NPI

Denise Keeley, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1881052736
Registry record updated Feb 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009305 Issued in VA
Practice address
248 W 24TH St
Norfolk, VA 23517-1304
Phone
(757) 200-9198
Fax
(757) 622-8932
NPI assigned
Feb 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 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 0904009305 VA Primary

Addresses

Primary practice location

248 W 24TH St
Norfolk, VA 23517-1304

Mailing address

248 W 24TH St
Norfolk, VA 23517-1304
Phone (757) 200-9198

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171020000760 VA Practitioner - Clinical Social Worker 7911273818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael S. Weissman, PH.D.,LTDGroup PAC ID 1355314170, 16 clinicians

Practice addresses (Care Compare)

3101 American Legion Rd
Suite 21B
Chesapeake, VA 23321-5699
Phone (757) 483-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904009305VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Weissman, PH.D.,LTD Clinical CurrentSince Jul 25, 2017 Accepting new patients
LGBT Life Center PastSince May 15, 2020 Accepting new patients
Psychotherapy Resources of Norfolk LTD Clinical PastSince Jul 25, 2017 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

1709 Colley Ave
Ste 310
Norfolk, VA 23517

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": "1454803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454803200000",
    "number": "1881052736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W 24TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171304",
            "telephone_number": "757-200-9198",
            "fax_number": "757-622-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 24TH ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171304",
            "telephone_number": "757-200-9198",
            "fax_number": "757-622-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-07",
        "last_updated": "2016-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.