PSYCHOTHERAPY RESOURCES OF NORFOLK LTD – Clinical Social Worker, NPI 1316947328

PSYCHOTHERAPY RESOURCES OF NORFOLK LTD is a healthcare provider. based in Norfolk, Virginia. specializing in Clinical Social Worker. The organization holds a License No. 4274 (VA). The NPI Number for PSYCHOTHERAPY RESOURCES OF NORFOLK LTD is 1316947328

Main info

Organization
Name
PSYCHOTHERAPY RESOURCES OF NORFOLK LTD
NPI
1316947328
Phone
(757) 640-0400
Address
1709 COLLEY AVE
Authorized Official
BETTY ALEXANDRA KEDROCK PRESIDENT LCSW
Enumeration Date
1 August 2005
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for PSYCHOTHERAPY RESOURCES OF NORFOLK LTD

  • 1709, Colley Avenue, Norfolk, Virginia, 23517, United States

    SUITE 312

    NORFOLK, VA 235171675

    Phone: (757) 640-0400

    Fax: (757) 640-0497

    Mailing address matches the actual address.

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: 2004-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (832 days ago).

Enrollment records

1

Earliest due date

2024-02-29

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
O20040422000546OClinic/Group PracticeVA2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 23517)

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Reviews

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Frequently asked questions

Is PSYCHOTHERAPY RESOURCES OF NORFOLK LTD listed with a National Provider Identifier?
Yes — PSYCHOTHERAPY RESOURCES OF NORFOLK LTD has NPI 1316947328 on file in the registry.
Active or inactive — what applies to PSYCHOTHERAPY RESOURCES OF NORFOLK LTD?
You should see PSYCHOTHERAPY RESOURCES OF NORFOLK LTD as active in CMS-hosted NPPES data.
What clinical focus is listed for PSYCHOTHERAPY RESOURCES OF NORFOLK LTD?
At a glance, PSYCHOTHERAPY RESOURCES OF NORFOLK LTD is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with PSYCHOTHERAPY RESOURCES OF NORFOLK LTD?
Directory geography for PSYCHOTHERAPY RESOURCES OF NORFOLK LTD centers on Norfolk, Virginia.
When was this NPI issued?
Enumeration for PSYCHOTHERAPY RESOURCES OF NORFOLK LTD is noted as August 1, 2005 where the registry provides it.

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