Lynn M Alley, LCSW – Clinical Social Worker

Key facts

NPI: 1992083364
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 0904007704 (VA)
Practice address: 2473 N Landing Rd
Virginia Beach, VA 23456-3404
Phone: (757) 385-4537
Fax: (757) 385-4533
NPI assigned: Aug 2, 2011
Sex: Female
Sole proprietor: No

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.

City of Virginia Beach Human Services Non-emergency Medical Transport (VAN) · Virginia Beach, VA · NPI 1396238424

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
0904007704	VA	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
City of Virginia Beach Human Services		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	0904007704	VA	Yes

Addresses

Primary practice location

2473 N Landing Rd
Virginia Beach, VA 23456-3404

Mailing address

2401 Seven Kings Rd
Virginia Beach, VA 23456-7825
Phone (757) 427-9971

Other identifiers

Identifier	Type	State	Issuer
1861562472	Medicaid	VA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2011.

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1992083364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SEVEN KINGS RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234567825",
            "telephone_number": "757-427-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 N LANDING RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234563404",
            "telephone_number": "757-385-4537",
            "fax_number": "757-385-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861562472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Clinical Social Worker in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.