Baldwin Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003880 Issued in VA

Legal business name

BALDWIN COUNSELING PLLC

Practice address

1492 S Independence Blvd Ste 104
Virginia Beach, VA 23462-5252

Phone

(757) 340-0275

Fax

(757) 340-0276

NPI assigned

Aug 2, 2014

Last updated

Jun 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Meredith Baldwin, LCSW PH.D.NPI 1285644609

Title

Owner

Phone

(757) 340-0275

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne M. Baldwin, PH.D, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1285644609
  Medicare reassignment Authorized official
• Lauren Gyorfi, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1871068437
  NPD (past)

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1891104949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 S INDEPENDENCE BLVD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625252",
            "telephone_number": "757-340-0275",
            "fax_number": "757-340-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 S INDEPENDENCE BLVD STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625252",
            "telephone_number": "757-340-0275",
            "fax_number": "757-340-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-340-0275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Balance Health LLC
• Balanced Growth Therapy and Consulting LLC
• Balanced Outpatient Therapy LLC
• Jennifer Le Balderston, MD
• Matthew Gene Balderston, M.D.
• Jason Emannuel Baldwin
• Suzanne M. Baldwin, PH.D, LCSW
• Charlotte Therese Balek
• Nora M Balke, FNP-C
• Bryan C Ball

• 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 Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.