Individual provider Active NPI

Mark Stevens

  • Social Worker
  • Chesterfield, VA
National Provider Identifier
1114385242
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone
(804) 748-1227
Fax
(804) 717-6659
NPI assigned
Feb 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

6801 Lucy Corr CT
Chesterfield, VA 23832-6657

Mailing address

6801 Lucy Corr CT
Chesterfield, VA 23832-6657
Phone (804) 748-1227

Other identifiers 1

IdentifierTypeStateIssuer
1336293000MedicaidVA

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
I20041023000249 VA Practitioner - Clinical Social Worker 0941261812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Daily Planet IncGroup PAC ID 9931010857, shared by 10 NPIs, 31 clinicians

Practice addresses (Care Compare)

511 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505

517 W Grace St
Richmond, VA 23220-4911
Phone (804) 783-2505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Daily Planet Inc CurrentSince Dec 28, 2023 Accepting new patients
The Daily Planet Inc CurrentSince Dec 28, 2023 Accepting new patients
The Daily Planet Inc Current Accepting new patients
The Daily Planet Inc CurrentSince Dec 28, 2023 Accepting new patients
The Daily Planet Inc, CurrentSince Dec 28, 2023 Accepting new patients
Chesterfield County Mental Health Past Accepting new patients
Chesterfield County Mental Health Past Accepting new patients

Locations

6801 Lucy Corr Ct
Chesterfield, VA 23832
Phone (804) 748-1227

10299 Woodman Rd
Glen Allen, VA 23060
Phone (804) 261-8571

517 W Grace St
Richmond, VA 23220
Phone (804) 783-0678

700 Dinwiddie Ave
Richmond, VA 23224
Phone (804) 230-1217

107 S 5th St
Richmond, VA 23219
Phone (804) 819-4000

Organizations & group practices 7

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1114385242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LUCY CORR CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326657",
            "telephone_number": "804-748-1227",
            "fax_number": "804-717-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LUCY CORR CT",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326657",
            "telephone_number": "804-748-1227",
            "fax_number": "804-717-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336293000",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.