Active NPI
Nicole Therese Baucum, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1043143613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904015541
- Practice address
- 1607 Georgia Ave
Richmond, VA 23220-6805 - Phone
- (540) 940-3203
- NPI assigned
- Jun 4, 2026
- 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 | 0904015541 | VA | Primary |
Addresses
Primary practice location
1607 Georgia Ave
Richmond, VA 23220-6805
Mailing address
1607 Georgia Ave
Richmond, VA 23220-6805
Phone (540) 940-3203
Other practice location 1
901 N Glebe Rd Fl 5
Arlington, VA 22203-1853
Phone (323) 205-7088
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 |
|---|---|---|---|
| 0904015541 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1043143613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 GEORGIA AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232206805",
"telephone_number": "540-940-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 GEORGIA AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232206805",
"telephone_number": "540-940-3203"
}
],
"practiceLocations": [
{
"address_1": "901 N Glebe Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222031853",
"country_code": "US",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUCUM",
"first_name": "NICOLE",
"middle_name": "THERESE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904015541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.