Active NPI
Deborah Beth Reese, LCSW
- Clinical Social Worker
- Virginia Beach, VA
National Provider Identifier
1891749644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002921
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008927537 | Medicaid | VA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Counseling Center LLC | Clinical | Current | Accepting new patients |
| Ocean Psychiatric Group PC | Clinical | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.