Individual provider Active NPI

Tiffaney Joy Dunbar, LCSW

  • Clinical Social Worker
  • Portsmouth, VA
National Provider Identifier
1891926143
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010646 Issued in VA
Practice address
4017 Griffin St
Portsmouth, VA 23707-3819
Phone
(757) 414-7198
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2024

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 0904010646 VA Primary

Addresses

Primary practice location

4017 Griffin St
Portsmouth, VA 23707-3819

Mailing address

4017 Griffin St
Portsmouth, VA 23707-3819
Phone (267) 307-4330

Other practice location 1

2010 Old Greenbrier Rd Ste G
Chesapeake, VA 23320-2619
Phone (757) 493-2912

Other practice location 2

1249 Cedar Mill Sq
Chesapeake, VA 23320-2747
Phone (757) 289-2571

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
I20190114003027 VA Practitioner - Clinical Social Worker 6608112586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010646VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Licensed to Heal LLC Clinical CurrentSince Sep 29, 2024 Accepting new patients
Western Tidewater Community Mental CurrentSince Mar 6, 2025 Accepting new patients
Edge Clinical Associates Clinical Past Accepting new patients
Rawles & Associates, PLC PastSince Jan 28, 2013 Accepting new patients

Locations

200 E 2nd Ave
Franklin, VA 23851
Phone (757) 562-2208

1913 S Church St
Ste 2
Smithfield, VA 23430
Phone (757) 357-7458

1801 S Church St
Ste 6
Smithfield, VA 23430

7025 Harbour View Blvd
Ste 119
Suffolk, VA 23435
Phone (757) 670-7471

135 S Saratoga St
Suffolk, VA 23434
Phone (757) 925-1981

5268 Godwin Blvd
Suffolk, VA 23434
Phone (757) 255-7117

1000 Commercial Ln
Suffolk, VA 23434
Phone (757) 925-2484

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.tiffaneydunbar@134000.advancedmd-direct.com

Organizations & group practices 4

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": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1891926143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 GRIFFIN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073819",
            "telephone_number": "267-307-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 GRIFFIN ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073819",
            "telephone_number": "757-414-7198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 Old Greenbrier Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202619",
            "country_code": "US",
            "telephone_number": "757-493-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1249 Cedar Mill Sq",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233202747",
            "country_code": "US",
            "telephone_number": "757-289-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "TIFFANEY",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.