Individual provider Active NPI

Rebecca Reid, LCSW

  • Clinical Social Worker
  • Norfolk, VA
National Provider Identifier
1922140136
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000493 Issued in VA
Practice address
6320 N Center Dr
Suite 101
Norfolk, VA 23502-4009
Phone
(757) 456-0505
Fax
(757) 456-0817
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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 0904000493 VA Primary

Addresses

Primary practice location

6320 N Center Dr
Suite 101
Norfolk, VA 23502-4009

Mailing address

1060 Laskin Rd
Ste 11B
Virginia Beach, VA 23451-6365
Phone (757) 456-0505

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
I20100826000214 VA Practitioner - Clinical Social Worker 9830085372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University Medical College of Kansas City, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1060 Laskin Rd
Virginia Beach, VA 23451-6365
Phone (757) 456-0505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904000493VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David W. Reid, M.D., P.C. Clinical CurrentSince Feb 25, 2011 Accepting new patients

Locations

1060 Laskin Rd
Ste 11B
Virginia Beach, VA 23451
Phone (757) 456-0505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1922140136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LASKIN RD",
            "address_2": "STE 11B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516365",
            "telephone_number": "757-456-0505",
            "fax_number": "757-456-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N CENTER DR",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024009",
            "telephone_number": "757-456-0505",
            "fax_number": "757-456-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.