James Walter Eisenhower, PH.D, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000683 Issued in VA

Practice address

281 Independence Blvd
Suite 305
Virginia Beach, VA 23462-2986

Phone

(757) 373-6051

Fax

(757) 497-1327

NPI assigned

Sep 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

Practice roles

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.

• Christian Psychotherapy Services

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1437247723
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1952407900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "SUITE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-373-6051",
            "fax_number": "757-497-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 INDEPENDENCE BLVD",
            "address_2": "SUITE 305",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622986",
            "telephone_number": "757-373-6051",
            "fax_number": "757-497-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHOWER",
        "first_name": "JAMES",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Grace Eichenlaub, PA
• Martin A. Eidlin, M.D.
• Patricia D Eikenbary
• Tarek Eisa, QPPMH, RBT
• Jessica Lynne Eisenberg, DPT, MS, ATC
• Michael Eiswerth, DO
• David Toshio Eki
• Ekmarkets LLC (Ekrcm)
• Nadia Mohamed El Fangary, M.D.
• Hosam Farouk El Sayed, M.D.

• 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 Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.