Individual provider Active NPI

Justyce Burton, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1962299081
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904018318 Issued in VA
Practice address
3704 Snowdrift Cir Apt 303
Virginia Beach, VA 23462-6956
Phone
(757) 514-9044
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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 0904018318 VA Primary

Addresses

Primary practice location

3704 Snowdrift Cir Apt 303
Virginia Beach, VA 23462-6956

Mailing address

3704 Snowdrift Cir Apt 303
Virginia Beach, VA 23462-6956
Phone (757) 514-9044

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
I20250513001714 VA Practitioner - Clinical Social Worker 0648798777 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904018318VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Southeast LLC CurrentSince May 1, 2025 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

512 Houston St
Staunton, VA 24401
Phone (540) 886-2335

Organizations & group practices 1

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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1962299081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 SNOWDRIFT CIR APT 303",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626956",
            "telephone_number": "757-514-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704 SNOWDRIFT CIR APT 303",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626956",
            "telephone_number": "757-514-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JUSTYCE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.