Individual provider Active NPI

Carrie Suzanne Meyer, LCSW

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1104361583
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009487 Issued in VA
Practice address
8249 Crown Colony Pkwy Ste 200
Mechanicsville, VA 23116-4057
Phone
(804) 901-3922
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 0904009487 VA Primary

Addresses

Primary practice location

8249 Crown Colony Pkwy Ste 200
Mechanicsville, VA 23116-4057

Mailing address

5511 Staples Mill Rd Suite 300
Richmond, VA 23228-9999
Phone (804) 230-0999

Other identifiers 1

IdentifierTypeStateIssuer
1104361583MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Carrie.MeyerLLC@gmail.com Direct

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
I20180808002938 VA Practitioner - Clinical Social Worker 8628326568 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
River City Integrative Counseling CurrentSince Oct 29, 2018 Accepting new patients
Chesterfield Counseling Group Past Accepting new patients

Locations

2604 N Parham Rd
Richmond, VA 23294
Phone (804) 237-4011

5511 Staples Mill Rd
Ste 300
Richmond, VA 23228
Phone (804) 681-2525

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1104361583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 STAPLES MILL RD SUITE 300",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232289999",
            "telephone_number": "804-230-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8249 CROWN COLONY PKWY STE 200",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164057",
            "telephone_number": "804-901-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CARRIE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104361583",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Carrie.MeyerLLC@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mechanicsville",
            "address_1": "8249 Crown Colony Pkwy Ste 200",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231164057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.