Jessica Renee Belk, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006627 Issued in VA

Practice address

2663 Osborne Rd Ste 1
Chester, VA 23831-2168

Phone

(804) 243-5159

Fax

(804) 597-0240

NPI assigned

Sep 12, 2007

Last updated

Apr 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1073708053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13454 NAYLORS BLUE DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238362908",
            "telephone_number": "804-243-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2663 OSBORNE RD STE 1",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238312168",
            "telephone_number": "804-243-5159",
            "fax_number": "804-597-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7347 Bell Creek Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231113504",
            "country_code": "US",
            "telephone_number": "804-730-4690",
            "fax_number": "804-559-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13454 Naylors Blue Dr",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "VA",
            "postal_code": "238362908",
            "country_code": "US",
            "telephone_number": "804-243-5159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 Forest Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301726",
            "country_code": "US",
            "telephone_number": "804-243-5159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELK",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "canoshllc@outlook.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "CANOSH, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2663 Osborne Rd Ste 1",
            "city": "Chester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238312168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Uniqua Olivia Baugh, MMP, SPM
• Daphne P Bazile, MD
• David R Beam, D.D.S.
• Douglas E Beckwith, MD
• Tammy K. Becoat-Eclou, LCSW
• Nancy Elizabeth Bell, CFNP
• Randy Bell
• Benchmark Physical Therapy of VA, LLC
• Wakeshi Lanise Benson, DDS
• Bethel Residential Home LLC

• Clinical Social Worker in Chester, VA
• Providers in Chester, 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 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.