Active NPI
Pamela Richards, LCSW
- Clinical Social Worker
- Sperryville, VA
National Provider Identifier
1124128640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904004972
- Practice address
- 11576 Lee Hwy # G
Sperryville, VA 22740-2163 - Phone
- (540) 987-3111
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904004972 | VA | Primary |
Addresses
Primary practice location
11576 Lee Hwy # G
Sperryville, VA 22740-2163
Mailing address
447 Hickory LN
Woodstock, VA 22664-2175
Phone (540) 244-9496
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088026M | Other | VA | SENARA - BRH |
| 183971 | Other | VA | ANTHEM - BRH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Palliative Care Services | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1689333072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124128640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 HICKORY LN",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226642175",
"telephone_number": "540-244-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11576 LEE HWY # G",
"city": "SPERRYVILLE",
"state": "VA",
"postal_code": "227402163",
"telephone_number": "540-987-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "PAMELA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904004972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENARA - BRH",
"identifier": "088026M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - BRH",
"identifier": "183971",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sperryville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.