Individual provider Active NPI

Deborah Beth Reese, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1891749644
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002921 Issued in VA
Practice address
2580 Potters Road
Virginia Beach, VA 23454-4324
Phone
(757) 498-9391
Fax
(757) 498-7073
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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 0904002921 VA Primary

Addresses

Primary practice location

2580 Potters Road
Virginia Beach, VA 23454-4324

Mailing address

1064 Laskin Rd
Ste 14C
VA Beach, VA 23451-6337
Phone (757) 233-1500

Other identifiers 1

IdentifierTypeStateIssuer
008927537MedicaidVA

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
I20050916000651 VA Practitioner - Clinical Social Worker 6305879511 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beach Counseling Center LLCGroup PAC ID 5496172983, 7 clinicians

Practice addresses (Care Compare)

1064 Laskin Rd
Suite 14C
Virginia Beach, VA 23451-6337
Phone (757) 233-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Counseling Center LLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Ocean Psychiatric Group PC Clinical CurrentSince Jan 2, 2018 Accepting new patients

Locations

596 Lynnhaven Pkwy
Ste 100
Virginia Beach, VA 23452
Phone (757) 802-4500

1064 Laskin Rd
Ste 14C
Virginia Beach, VA 23451
Phone (757) 233-1500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6887/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1891749644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 LASKIN RD",
            "address_2": "STE 14C",
            "city": "VA BEACH",
            "state": "VA",
            "postal_code": "234516337",
            "telephone_number": "757-233-1500",
            "fax_number": "757-222-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 POTTERS ROAD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544324",
            "telephone_number": "757-498-9391",
            "fax_number": "757-498-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "DEBORAH",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008927537",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.