Chrasanthum Nieves, LCSW, LCAS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904016723 Issued in VA

Practice address

4208 Jennell CT
Chesapeake, VA 23321-1913

Phone

(757) 994-8702

NPI assigned

Sep 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chrissy Nieves Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1053198507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9236",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233219236",
            "telephone_number": "757-994-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 JENNELL CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211913",
            "telephone_number": "757-994-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "CHRASANTHUM",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LACS-28580",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISSY",
            "last_name": "NIEVES",
            "credential": "PREFERRED/PROFESSION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glenn W Nichols, MD
• Levette Nichols
• Jennifer Corine Nicholson, M.S. CCC-SLP
• Suzanne Lynne Nickel, FNP-C
• Kathryn Amber Nielsen, M.S., SLP
• Nightingale Home Health Services
• Nilima Ganesh Nirmul, PSYD
• Krystie M Niver, DDS
• Nevada Michelle Nixon
• Poweielatei Mary Nkengla, LCSW

• Clinical Social Worker in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.