Active NPI
Donna Lilian Sepulveda, LCSW
- Clinical Social Worker
- New Kent, VA
National Provider Identifier
1013424464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904010308
- Practice address
- 7501 Egypt Rd
New Kent, VA 23124-2123 - NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904010308 | VA | Primary |
Addresses
Primary practice location
7501 Egypt Rd
New Kent, VA 23124-2123
Mailing address
1723 Summit Ave Apt 208
Richmond, VA 23230-4539
Other practice location 1
7365 Egypt Rd
New Kent, VA 23124-2471
Phone (804) 966-9671
Other practice location 2
4001 New Kent Hwy
Quinton, VA 23141
Phone (804) 601-4085
Other practice location 3
11819 New Kent Hwy Ste 5
New Kent, VA 23124-2470
Phone (804) 966-2776
Other practice location 4
2010 Carlisle Ave
Richmond, VA 23231-3445
Phone (804) 562-5464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904010308 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013424464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1723 SUMMIT AVE APT 208",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232304539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 EGYPT RD",
"city": "NEW KENT",
"state": "VA",
"postal_code": "231242123"
}
],
"practiceLocations": [
{
"address_1": "7365 Egypt Rd",
"address_purpose": "LOCATION",
"city": "New Kent",
"state": "VA",
"postal_code": "231242471",
"country_code": "US",
"telephone_number": "804-966-9671",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4001 New Kent Hwy",
"address_purpose": "LOCATION",
"city": "Quinton",
"state": "VA",
"postal_code": "23141",
"country_code": "US",
"telephone_number": "804-601-4085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11819 New Kent Hwy Ste 5",
"address_purpose": "LOCATION",
"city": "New Kent",
"state": "VA",
"postal_code": "231242470",
"country_code": "US",
"telephone_number": "804-966-2776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2010 Carlisle Ave",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232313445",
"country_code": "US",
"telephone_number": "804-562-5464",
"fax_number": "804-562-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "DONNA",
"middle_name": "LILIAN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904010308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Kent, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.