TIDEWATER PSYCHOTHERAPY SERVICES
NPI 1700830742
Social Worker in Virginia Beach, VA

Active since May 22, 2006
260 GRAYSON RD, SUITE 100, VIRGINIA BEACH, VA 23462(757) 497-3670(757) 499-1947 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 21, 2017, Apr 11, 2017 (2 updates tracked since 2017).

About Tidewater Psychotherapy Services NPPES

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

TIDEWATER PSYCHOTHERAPY SERVICES (NPI 1700830742) is a healthcare organization registered as a social worker in Virginia Beach, Virginia and active in the NPI registry since May 2006. The organization lists Louise Friedman, President, Authorizaed Offical, as its authorized official.

NPPES Registry Identity

NPI1700830742
Entity TypeOrganization
Primary Taxonomy104100000X
Legal Business NameTIDEWATER PSYCHOTHERAPY SERVICES
Location Address260 GRAYSON RD, SUITE 100Virginia Beach, VA 23462-4345
Mailing Address260 Grayson Rd, Suite 100Virginia Beach, VA 23462-4345 · (757) 497-3670 · Fax (757) 499-1947
Fax(757) 499-1947
Organization SubpartNo
Authorized OfficialLouise FriedmanPresident, Authorizaed Offical · (757) 497-3670
Enumeration DateMay 22, 2006
Last NPPES UpdateAugust 21, 20172 updates tracked since enumeration
✔ NPI 1700830742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in VA · 2006112732R
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 204 (VA)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
260 GRAYSON RD, Virginia Beach, VA 23462

Other Identifiers 3

Medicaid1700830742VA
Medicare PINCO1311
Medicare UPINCO1311VA

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)

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

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Tidewater Psychotherapy Services, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Clinical Social Worker5
Nurse Practitioner4
Addiction Medicine1
Neuropsychiatry1
Psychiatry1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1396344693
260 GRAYSON RD
Virginia Beach, VA 23462
(757) 497-3670
✔ PECOS✔ Accepts MedicareSame address
Neuropsychiatry
NPI 1083832661
260 GRAYSON RD STE 100
Virginia Beach, VA 23462
(757) 497-3670
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457802795
240 BUSINESS PARK DR
Virginia Beach, VA 23462
(757) 497-3670
✔ PECOS✔ Accepts Medicare1.5 mi
Psychiatry
NPI 1780855114
240 BUSINESS PARK DR STE 100 SUITE G
Virginia Beach, VA 23462
(757) 497-3670
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1497888556
400 N CENTER DR STE 100
Norfolk, VA 23502
(757) 908-3754
✔ PECOS✔ Accepts Medicare2.0 mi
Clinical Social Worker
NPI 1518506856
443 KEMPSVILLE RD
Norfolk, VA 23502
(757) 455-6244
✔ PECOS✔ Accepts Medicare2.3 mi
Addiction Medicine
NPI 1871026831
4509 WHITECHAPEL DRIVE
Virginia Beach, VA 23455
(757) 460-4655
✔ PECOS✔ Accepts Medicare2.5 mi
Clinical Social Worker
NPI 1558444786
6275 E VIRGINIA BEACH BLVD STE 300
Norfolk, VA 23502
(757) 961-0606
✔ PECOS✔ Accepts Medicare2.5 mi
Nurse Practitioner
NPI 1356997613
1527 BRENDLE CT
Virginia Beach, VA 23464
(757) 775-9159
✔ PECOS✔ Accepts Medicare2.9 mi
Clinical Social Worker
NPI 1538523972
1300 DIAMOND SPRINGS RD SUITE 503
Virginia Beach, VA 23455
(757) 656-1665
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1215493275
301 RIVERVIEW AVE STE 500
Norfolk, VA 23510
(757) 233-8252
✔ PECOS✔ Accepts Medicare8.6 mi
Clinical Social Worker
NPI 1245270909
79 E WINDSOR BLVD
Windsor, VA 23487
(757) 242-9988
✔ PECOS✔ Accepts Medicare32 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 Tidewater Psychotherapy Services's NPI number?

The NPI number for Tidewater Psychotherapy Services is 1700830742. It was assigned to this organization in the NPPES registry on May 22, 2006.

Where is Tidewater Psychotherapy Services located?

Tidewater Psychotherapy Services is located at 260 Grayson Rd Suite 100, Virginia Beach, VA 23462. The listed phone number is (757) 497-3670.

What is Tidewater Psychotherapy Services's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tidewater Psychotherapy Services enrolled in Medicare?

Yes. Tidewater Psychotherapy Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Psychotherapy Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 5 Medicare specialties reassign their Medicare billing to Tidewater Psychotherapy Services. 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. The largest specialties are Clinical Social Worker (5), Nurse Practitioner (4) and Addiction Medicine (1). Of these, 2 practice at this address and 11 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 Tidewater Psychotherapy Services was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.