JASEN M EBERZ (LCSW) – Clinical Social Worker, NPI 1538667258

JASEN M EBERZ (LCSW) is a healthcare provider. based in Norfolk, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904010333 (VA). The NPI Number for JASEN M EBERZ (LCSW) is 1538667258

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JASEN M EBERZ (LCSW)
NPI
1538667258
Phone
(757) 908-3754
Address
400 N CENTER DR STE 100
Enumeration Date
28 January 2018
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7576633662
Graduation Year
2014 (12 years ago)
PAC ID
6406108182
Group Practice PAC ID
2961944988
Professional Enrollment ID
I20181008001552
Address ID
VA235020003NO400XXDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

Provider Addresses for JASEN M EBERZ (LCSW)

  • 400 N CENTER DR STE 100

    NORFOLK, VA 235020002

    Phone: (757) 908-3754

    Type: Location

  • 3977 PLEASANT VALLEY RD

    VIRGINIA BEACH, VA 234648863

    Phone: (703) 801-1923

    Type: Mailing

  • 780 LYNNHAVEN PKWY STE 340

    VIRGINIA BEACH, VA 234527361

    Phone: (757) 500-0550

    Type: Mailing

  • Johnstown Shoppes, 321, Johnstown Road, Great Bridge, Chesapeake, Virginia, 23322, United States

    CHESAPEAKE, VA 233225372

    Phone: (757) 410-7903

    Type: Location

  • 3977 Pleasant Valley Rd

    Virginia Beach, VA 234648863

    Phone: (703) 801-1923

    Type: Location

  • 216, Heritage Oak Drive, Chesapeake, Virginia, 23320, United States

    CHESAPEAKE, VA 233209500

    Phone: (703) 801-1923

    Type: Mailing

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: 2018-10-08

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
I20181008001552IClinical 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 23502)

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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: 2961944988View full group profile
NameSpecialtyState
Clinical Social WorkerVA
Mental Health CounselorVA
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
Nurse PractitionerVA
Clinical Social WorkerOH
Nurse PractitionerFL
Clinical Social WorkerUT
Physician AssistantVA

Reviews

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Frequently asked questions

Is JASEN M EBERZ (LCSW) listed with a National Provider Identifier?
Yes — JASEN M EBERZ (LCSW) has NPI 1538667258 on file in the registry.
Is there an active status for JASEN M EBERZ (LCSW)?
For scheduling context, JASEN M EBERZ (LCSW) is shown as active in the registry.
What area of care is associated with JASEN M EBERZ (LCSW)?
JASEN M EBERZ (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JASEN M EBERZ (LCSW)?
Travel planning: use Norfolk, Virginia as the reference point for JASEN M EBERZ (LCSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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