Carissa Battle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6277 Issued in TN

Practice address

873 Round Hill Rd
Winchester, VA 22602-2237

Phone

(540) 336-6111

NPI assigned

Mar 31, 2015

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carissa Lynch Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Revelation of Hope Counseling Services, LLC

  • Mental Health Counselor
  • Jackson, TN
  • NPI 1871909689
  NPD (past)

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1144615709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ASHCRAFT CV",
            "city": "HENDERSON",
            "state": "TN",
            "postal_code": "383407440",
            "telephone_number": "540-336-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 ROUND HILL RD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226022237",
            "telephone_number": "540-336-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "CARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008886",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "6277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "LYNCH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Barry
• Virginia Wheeler Basher, PSY.D.
• Omeed Azzat Basiri
• Givi Basishvili, MD
• Richard B Batchelet, DO
• Steven James Bauer, MD
• Deborah Nylen Bauserman, ED.D
• Samantha Staley Bauserman
• Michele Comte Baxter, CRNA
• Adrianne Beach, MA, LPC

• Clinical Social Worker in Winchester, VA
• Providers in Winchester, 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 Nov 24, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.