Individual provider Active NPI

Tanetta Hassell, LCSW

  • Clinical Social Worker
  • Suffolk, VA
National Provider Identifier
1962066258
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011061 Issued in VA
Practice address
7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Phone
(757) 966-2805
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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 0904011061 VA Primary

Addresses

Primary practice location

7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762

Mailing address

7025 Harbour View Blvd Ste 119
Suffolk, VA 23435-2762
Phone (757) 966-2805

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
I20190821003131 VA Practitioner - Clinical Social Worker 9133457617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suffolk Psychotherapy, Inc.Group PAC ID 9234491192, 4 clinicians

Practice addresses (Care Compare)

425 W Washington St
Suite 4
Suffolk, VA 23434-5320
Phone (757) 809-5376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011061VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Psychotherapy, Inc. Clinical CurrentSince Sep 21, 2019 Accepting new patients
Western Tidewater Community Mental CurrentSince Apr 28, 2019 Accepting new patients
Child & Family Services of Eastern Virginia, Inc Clinical CurrentSince Jan 17, 2025 Accepting new patients

Locations

580 E Main St
Ste 400
Norfolk, VA 23510

222 W 19th St
Norfolk, VA 23517
Phone (757) 622-7017

425 W Washington St
Ste 4
Suffolk, VA 23434
Phone (757) 209-4607

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

114 N Main St
Ste 102
Suffolk, VA 23434
Phone (757) 809-5376

109 Clay St
Suffolk, VA 23434
Phone (757) 539-7971

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

828 Healthy Way
Ste 105
Virginia Beach, VA 23462
Phone (757) 622-7017

Organizations & group practices 3

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1962066258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 HARBOUR VIEW BLVD STE 119",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352762",
            "telephone_number": "757-966-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 HARBOUR VIEW BLVD STE 119",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352762",
            "telephone_number": "757-966-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSELL",
        "first_name": "TANETTA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.