Individual provider Active NPI

Katherine Odette Meyersohn, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1003900127
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005999 Issued in VA
Practice address
1503 Brookland Pkwy
Richmond, VA 23227-4707
Phone
(804) 833-8776
Fax
(804) 254-2024
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005999 VA Primary

Addresses

Primary practice location

1503 Brookland Pkwy
Richmond, VA 23227-4707

Mailing address

1503 Brookland Pkwy
Richmond, VA 23227-4707
Phone (804) 833-8776

Other identifiers 1

IdentifierTypeStateIssuer
010223709MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 19, 2024 through Jul 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904005999VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Healing Arts Center of Richmond, PLLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1003900127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 BROOKLAND PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274707",
            "telephone_number": "804-833-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 BROOKLAND PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274707",
            "telephone_number": "804-833-8776",
            "fax_number": "804-254-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERSOHN",
        "first_name": "KATHERINE",
        "middle_name": "ODETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010223709",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.