KENISHA REESE (LCSW) – Clinical Social Worker, NPI 1073220778

KENISHA REESE (LCSW) is a healthcare provider. based in Virginia beach, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904014847 (VA). The NPI Number for KENISHA REESE (LCSW) is 1073220778

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KENISHA REESE (LCSW)
NPI
1073220778
Phone
(757) 657-4404
Address
PO BOX 2191
Enumeration Date
2 November 2022
Last Update Date
22 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574906463
Graduation Year
2016 (10 years ago)
PAC ID
7012372196
Group Practice PAC ID
2567795628
Professional Enrollment ID
I20230609001885
Address ID
VA234521178VI508XXBLVD401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for KENISHA REESE (LCSW)

  • PO BOX 2191

    VIRGINIA BEACH, VA 234502191

    Phone: (757) 657-4404

    Fax: (757) 657-1140

    Type: Mailing

  • 512 S LYNNHAVEN RD STE 102

    VIRGINIA BEACH, VA 234526664

    Phone: (757) 657-4404

    Fax: (757) 657-1140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230609001885IClinical Social WorkerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23450)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567795628View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Clinical Social WorkerNC
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Does KENISHA REESE (LCSW) have a public NPI I can cite?
Public records show KENISHA REESE (LCSW) under NPI 1073220778.
Does the public listing show KENISHA REESE (LCSW) as active?
KENISHA REESE (LCSW)'s NPI record reflects an active status in NPPES.
How should patients interpret KENISHA REESE (LCSW)'s specialty?
The extract shows Clinical Social Worker for KENISHA REESE (LCSW). Clinical services aligned with this taxonomy classification.
Which community is linked to KENISHA REESE (LCSW)?
KENISHA REESE (LCSW) shows a connection to Virginia Beach, Virginia in registry-derived data.
Who maintains KENISHA REESE (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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