EBONY SHANAY CANADY LCSW
NPI 1093173528
Social Worker - Clinical in Norfolk, VA

Active since January 28, 2016PECOS Enrolled
110 KINGSLEY LN, SUITE 210, NORFOLK, VA 23505(757) 398-2374 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ebony Shanay Canady Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONY SHANAY CANADY LCSW (NPI 1093173528) is an individual clinical provider in Norfolk, Virginia, licensed in Virginia (0904009248) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093173528
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY SHANAY CANADYCredential: LCSW
Location Address110 KINGSLEY LN, SUITE 210Norfolk, VA 23505-4614
Mailing Address110 Kingsley Ln, Suite 210Norfolk, VA 23505-4614 · (757) 398-2374
Sole ProprietorYes
Enumeration DateJanuary 28, 2016
✔ NPI 1093173528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904009248
Definition
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.
110 KINGSLEY LN, Norfolk, VA 23505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebony Shanay Canady Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ebony Canady reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
7025 HARBOUR VIEW BLVD STE 119
Suffolk, VA 23435
  • Reassigned Medicare billing, Virginia enrollment
  • 76 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
110 KINGSLEY LN, STE 206
NORFOLK, VA 23505
Radiology (Diagnostic Radiology)
110 KINGSLEY LN, SUITE 305
NORFOLK, VA 23505
Internal Medicine
110 KINGSLEY LN, SUITE 106
NORFOLK, VA 23505
Nurse Practitioner (Acute Care)
110 KINGSLEY LN, SUITE 411
NORFOLK, VA 23505
Internal Medicine
110 KINGSLEY LN, SUITE 209
NORFOLK, VA 23505
Radiology (Diagnostic Radiology)
110 KINGSLEY LN, 305
NORFOLK, VA 23505
Nurse Practitioner
110 KINGSLEY LN, SUITE 312
NORFOLK, VA 23505
Speech-Language Pathologist
110 KINGSLEY LN, SUITE 209
NORFOLK, VA 23505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebony Canady's NPI number?

The NPI number for Ebony Canady is 1093173528. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Ebony Canady located?

Ebony Canady practices at 110 Kingsley Ln Suite 210, Norfolk, VA 23505. The listed phone number is (757) 398-2374.

What is Ebony Canady's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ebony Canady enrolled in Medicare?

Yes. Ebony Canady is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ebony Canady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Canady reassigns Medicare benefits to Western Tidewater Community Mental (Suffolk, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebony Canady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ebony Canady was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.