Individual provider Active NPI

Patrick Philip Alwine, LCSW

  • Clinical Social Worker
  • Yorktown, VA
National Provider Identifier
1053101121
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904018101 Issued in VA
Practice address
501 Village Ave Ste 204
Yorktown, VA 23693-5657
Phone
(757) 568-5904
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 0904018101 VA Primary

Addresses

Primary practice location

501 Village Ave Ste 204
Yorktown, VA 23693-5657

Mailing address

697 Tech Center Pkwy Apt 3420
Newport News, VA 23606-1562
Phone (757) 288-3139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311004061 VA Practitioner - Clinical Social Worker 5193208783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seaside Wellness LLCGroup PAC ID 5294277075, 4 clinicians

Practice addresses (Care Compare)

501 Village Ave
Suite 204
Yorktown, VA 23693-5657
Phone (757) 992-9291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904018101VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Wellness, LLC CurrentSince Jan 28, 2026 Accepting new patients
Ellie Mental Health CurrentSince May 18, 2025 Accepting new patients

Locations

501 Village Ave
Ste 204
Yorktown, VA 23693
Phone (757) 568-5904

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1053101121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 TECH CENTER PKWY APT 3420",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061562",
            "telephone_number": "757-288-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VILLAGE AVE STE 204",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935657",
            "telephone_number": "757-568-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWINE",
        "first_name": "PATRICK",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.