Provider Type Icon

ELIZABETH BOAN SHUMATE LCSW NPI 1023164126


NPI Information

NPI: 1023164126
Provider Name: ELIZABETH BOAN SHUMATE, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
3204 KENMORE DR
HAMPTON, VA
ZIP 23661
Phone: (540) 267-6264
Get Directions

Elizabeth Boan Shumate, LCSW is a clinical social worker in Hampton, VA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Elizabeth Boan Shumate, LCSW NPI is 1023164126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3204 KENMORE DR
HAMPTON, VA
ZIP 23661-420
Phone: (540) 267-6264

The NPI 1023164126 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/8/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical0904003491VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1574424MEDICARE UPINVIRGINIA
2013357T06MEDICARE PINVIRGINIA
31023164126OTHERVIRGINIAFIRST HEALTH
483936MOTHERVIRGINIASENTARA MENTAL HEALTH MANAGEMENT
5351786OTHERVIRGINIAANTHEM BC/BS
657594OTHERVIRGINIAHORIZON
7166603OTHERVIRGINIACOMPSYCH
81023164126MEDICAIDVIRGINIA
97499285OTHERVIRGINIAAETNA
10302441OTHERVIRGINIAANTHEM BC / BS
11000068192OTHERVIRGINIAUNITED BEHAVIORAL HEALTH
12276944000OTHERVIRGINIAMAGELLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.