Organization Active NPI

Sacient Acp

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1013464361
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003315 Issued in VA
Legal business name
SACIENT ACP
Practice address
1702 Dakota Ave
Richmond, VA 23220-6911
Phone
(804) 418-0876
NPI assigned
Sep 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Ivan TolbertNPI 1912454265
Title
Ceo
Phone
(804) 418-0876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904003315 VA Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X

Addresses

Primary practice location

1702 Dakota Ave
Richmond, VA 23220-6911

Mailing address

PO Box 28684
Henrico, VA 23228-8684

Other practice location 1

608 Oneida St NE
Washington, DC 20011-1640
Phone (804) 672-4691

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address itolbert@sacientacp.com Direct

National Provider Directory

National Provider Directory

Locations

7400 Beaufont Spring Dr
Ste 300
North Chesterfield, VA 23225
Phone (804) 592-1225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1013464361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28684",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232288684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 DAKOTA AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232206911",
            "telephone_number": "804-418-0876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Oneida St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200111640",
            "country_code": "US",
            "telephone_number": "804-672-4691",
            "fax_number": "804-447-9746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SACIENT ACP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-03",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "TOLBERT",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-418-0876"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003315",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "itolbert@sacientacp.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email Messaging and Attachments",
            "address_1": "1702 Dakota Ave",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232206911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.