Antoinette Payne, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904010125 Issued in VA

Practice address

1657 Merrimac TRL
Williamsburg, VA 23185-5624

Phone

(757) 220-3200

NPI assigned

Jan 22, 2018

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Middle Peninsula Northern Neck Mental Health and RetardationGroup PAC ID 1254235989, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Middle Peninsula Northern Neck Mental Health & Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gloucester, VA
  • NPI 1497717615
  Medicare reassignment Care Compare group NPD
• Middle Peninsula-Northern Neck Mental Health and Mental Retardation

  dba Rural Infant Services Program

  • Speech-Language Pathologist
  • Urbanna, VA
  • NPI 1992879282
  NPD
• Bacon Street Youth and Family Services

  • Community/Behavioral Health Agency
  • Williamsburg, VA
  • NPI 1144376112
  NPD (past)
• Colonial Behavioral Health

  • Health Maintenance Organization
  • Williamsburg, VA
  • NPI 1841556776
  NPD (past)

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1134637341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1657 MERRIMAC TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855624",
            "telephone_number": "757-220-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1657 MERRIMAC TRL",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855624",
            "telephone_number": "757-220-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6523 Main St",
            "address_purpose": "LOCATION",
            "city": "Gloucester",
            "state": "VA",
            "postal_code": "230616132",
            "country_code": "US",
            "telephone_number": "757-253-0111",
            "fax_number": "757-253-2884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Warhill Trl",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231889419",
            "country_code": "US",
            "telephone_number": "757-912-2726",
            "fax_number": "757-808-5585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Thimble Shoals Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064544",
            "country_code": "US",
            "telephone_number": "757-508-6384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ANTOINETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-22",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7572203200",
            "affiliation": "N",
            "endpointDescription": "telephone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "1657 Merrimac Trl",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231855624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick Henry Hospital, Inc. (Riverside Adult Daycare, Williamsburg)
• Patriot Oral and Facial Surgery PLLC
• Patriots Colony, Inc. (Patriots Colony at Williamsburg)
• Heather Linnae Patton, M.S., CCC -SLP
• Paul K Hartmann DDS PLLC
• Peaceful Mind, LLC
• Peak Physical Therapy, PLC (Peak Physical Therapy & Sports Rehabilitation)
• David C Pearce, M.D.
• Kylie Pearce
• Pediatric Dental Specialists PLLC

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, 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 Jun 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.