Individual provider Active NPI

Jeffrey Patrick Gasparini, LCSW

  • Clinical Social Worker
  • Burkeville, VA
National Provider Identifier
1083369227
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013565 Issued in VA
Practice address
5001 E Patrick Henry Hwy
Burkeville, VA 23922-3460
Phone
(804) 766-3437
NPI assigned
Feb 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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 0904013565 VA Primary

Addresses

Primary practice location

5001 E Patrick Henry Hwy
Burkeville, VA 23922-3460

Mailing address

1603 Sedberry LN Apt 204
Midlothian, VA 23114-7028
Phone (804) 338-0805

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
I20220406000778 VA Practitioner - Clinical Social Worker 5092101709 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Wellness, LLC CurrentSince Mar 18, 2026 Accepting new patients
Emh of Greater Richmond LLC Clinical CurrentSince Mar 1, 2023 Accepting new patients
Lighthouse Behavioral Health Center, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

9011 Arboretum Pkwy
Ste 200
North Chesterfield, VA 23236
Phone (757) 992-9291

8310 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 447-6382

Organizations & group practices 3

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1083369227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 SEDBERRY LN APT 204",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231147028",
            "telephone_number": "804-338-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 E PATRICK HENRY HWY",
            "city": "BURKEVILLE",
            "state": "VA",
            "postal_code": "239223460",
            "telephone_number": "804-766-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARINI",
        "first_name": "JEFFREY",
        "middle_name": "PATRICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burkeville, VA

Sources for this page

Verify at the official NPI Registry.