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SANCTYOUARY
NPI 1588440119
Social Worker - Clinical in Virginia Beach, VA

Active since September 08, 2023
900 COMMONWEALTH PL STE 2001020, VIRGINIA BEACH, VA 23464(757) 749-8507 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 30, 2023, Sep 8, 2023 (2 updates tracked since 2023).

About Sanctyouary NPPES

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

SANCTYOUARY (NPI 1588440119) is a healthcare organization registered as a clinical in Virginia Beach, Virginia and active in the NPI registry since September 2023. The organization lists Keimishia Holloway, Registerd Nurse, as its authorized official.

NPPES Registry Identity

NPI1588440119
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSANCTYOUARY
Location Address900 COMMONWEALTH PL STE 2001020Virginia Beach, VA 23464-4517
Mailing Address900 Commonwealth Pl Ste 2001020Virginia Beach, VA 23464-4517 · (757) 749-8507
Phone(757) 749-8507
Organization SubpartNo
Authorized OfficialKeimishia HollowayRegisterd Nurse · (757) 749-8507
Enumeration DateSeptember 8, 2023
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
✔ NPI 1588440119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
900 COMMONWEALTH PL STE 2001020, Virginia Beach, VA 23464
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanctyouary is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Sanctyouary, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Brennan Baker, PMHNP
Nurse Practitioner
NPI 1740094747
900 COMMONWEALTH PL STE 200-1020
Virginia Beach, VA 23464
(757) 752-8478
✔ PECOS✔ Accepts MedicareSame address
Keimishia Holloway, PMHNP-BC
Nurse Practitioner
NPI 1932931516
900 COMMONWEALTH PL # 200-1020
Virginia Beach, VA 23464
(757) 752-8478
✔ PECOS✔ Accepts MedicareSame address
Ronald Mejzak, DO
Anesthesiology
NPI 1447228507
4509 WHITECHAPEL DR
Virginia Beach, VA 23455
(757) 460-4655
✔ PECOS✔ Accepts Medicare5.5 mi
Erin Idehenre, MSW, LCSW
Clinical Social Worker
NPI 1851813661
77 NEALY AVE
Hampton, VA 23665
(757) 987-1258
✔ PECOS✔ Accepts Medicare20 mi
Yasmeen Burnell, LCSW
Clinical Social Worker
NPI 1205543410
7969 ASHTON AVE
Manassas, VA 20109
(703) 792-7800
✔ PECOS✔ Accepts Medicare154 mi

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 Sanctyouary's NPI number?

The NPI number for Sanctyouary is 1588440119. It was assigned to this organization in the NPPES registry on September 8, 2023.

Where is Sanctyouary located?

Sanctyouary is located at 900 Commonwealth Pl Ste 2001020, Virginia Beach, VA 23464. The listed phone number is (757) 749-8507.

What is Sanctyouary's specialty?

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

Is Sanctyouary enrolled in Medicare?

Yes. Sanctyouary is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sanctyouary?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Sanctyouary, in Anesthesiology, Clinical Social Worker and Nurse Practitioner. 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, 2 practice at this address and 3 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 Sanctyouary was last updated on October 30, 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.