Individual provider Active NPI

Elizabeth Rose Audritsh, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1063380194
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904019347 Issued in VA
Practice address
3536 Grove Ave
Richmond, VA 23221-2200
Phone
(540) 699-0226
Fax
(540) 599-0224
NPI assigned
Oct 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 0904019347 VA Primary

Addresses

Primary practice location

3536 Grove Ave
Richmond, VA 23221-2200

Mailing address

6524 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (540) 699-0226

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
I20260423001190 VA Practitioner - Clinical Social Worker 1052888401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resilience Counseling and Social Skills Center LLCGroup PAC ID 4082088570, 28 clinicians

Practice addresses (Care Compare)

6524 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (540) 699-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904019347VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Counseling & Social Skills Center LLC Clinical CurrentSince Nov 8, 2025 Accepting new patients

Locations

5374 Twin Hickory Rd
Glen Allen, VA 23059
Phone 5406990226 ext. 156

6524 Woodlake Village Cir
Midlothian, VA 23112
Phone (540) 699-0226

3536 Grove Ave
Richmond, VA 23221
Phone (804) 359-1768

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1063380194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 WOODLAKE VILLAGE CIR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122200",
            "telephone_number": "540-699-0226",
            "fax_number": "540-599-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212200",
            "telephone_number": "540-699-0226",
            "fax_number": "540-599-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDRITSH",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904019347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.