JEWISH FAMILY SERVICE OF TIDEWATER, INCORPORATED
NPI 1124088638
Social Worker - Clinical in Virginia Beach, VA
About Jewish Family Service Of Tidewater, Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEWISH FAMILY SERVICE OF TIDEWATER, INCORPORATED (NPI 1124088638) is a healthcare organization registered as a clinical in Virginia Beach, Virginia and active in the NPI registry since March 2006. The organization lists Debra Friedman Mayer, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jewish Family Service Of Tidewater, Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Jewish Family Service Of Tidewater, Incorporated, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Virginia Beach, VA 23462
Virginia Beach, VA 23462
Virginia Beach, VA 23462
Virginia Beach, VA 23462
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jewish Family Service Of Tidewater, Incorporated's NPI number?
The NPI number for Jewish Family Service Of Tidewater, Incorporated is 1124088638. It was assigned to this organization in the NPPES registry on March 27, 2006.
Where is Jewish Family Service Of Tidewater, Incorporated located?
Jewish Family Service Of Tidewater, Incorporated is located at 260 Grayson Rd Ste 200, Virginia Beach, VA 23462. The listed phone number is (757) 459-4640.
What is Jewish Family Service Of Tidewater, Incorporated's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jewish Family Service Of Tidewater, Incorporated enrolled in Medicare?
Yes. Jewish Family Service Of Tidewater, Incorporated is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jewish Family Service Of Tidewater, Incorporated?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Jewish Family Service Of Tidewater, Incorporated. A 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 the clinician's services. Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jewish Family Service Of Tidewater, Incorporated was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jewish Family Service Of Tidewater, Incorporated · NPI 1124088638
Clinical organization in Virginia Beach, Virginia. Organization record, active in the CMS NPPES registry since March 27, 2006.
## Identity
- **NPI:** 1124088638 (Entity type: Organization)
- **Enumerated:** March 27, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Debra Mayer, CLINICAL DIRECTOR
## Practice location
- **Address:** 260 GRAYSON RD STE 200, Virginia Beach, VA 23462-4345
- **Phone:** (757) 459-4640 · **Fax:** (757) 459-4643
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124088638) · Data from the CMS NPPES public registry.