Individual provider Active NPI

Adrienne Burke Pastore, LCSW

  • Clinical Social Worker
  • Berryville, VA
National Provider Identifier
1164298683
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015824 Issued in VA
Practice address
629 E Main St
Berryville, VA 22611-1528
Phone
(540) 300-2740
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0904015824 VA Primary

Addresses

Primary practice location

629 E Main St
Berryville, VA 22611-1528

Mailing address

91 Chapel LN
Boyce, VA 22620-2408
Phone (540) 533-4387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240409002040 DC Practitioner - Clinical Social Worker 1153769229 Reassigns benefits to 1 organization
I20240411004092 VA Practitioner - Clinical Social Worker 1153769229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Associates of Maryland LLCGroup PAC ID 3971550963, 151 clinicians

Practice addresses (Care Compare)

7700 E Parham Rd
Richmond, VA 23294-4301
Phone (703) 812-4642

801 N Quincy St
Suite 601
Arlington, VA 22203-1729
Phone (410) 823-6408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015824VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neta, Inc. Single Specialty CurrentSince Jan 21, 2020 Accepting new patients
Psych Associates of Maryland LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (205) 593-7605

1954 Greenspring Dr
Ste 530
Timonium, MD 21093
Phone (240) 441-9858

2331 York Rd
Ste 100
Timonium, MD 21093

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

630 Peter Jefferson Pkwy
Ste 130
Charlottesville, VA 22911
Phone (434) 201-2155

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

1602 Village Market Blvd SE
Ste 250
Leesburg, VA 20175
Phone (667) 222-0381

8140 Ashton Ave
Ste 112
Manassas, VA 20109
Phone (703) 393-6366

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

158 Front Royal Pike
Ste 206
Winchester, VA 22602
Phone (540) 304-6533

Interoperability endpoints

  • Direct secure messaging: bloomhealthcenters.adriennepastore@131200.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1164298683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CHAPEL LN",
            "city": "BOYCE",
            "state": "VA",
            "postal_code": "226202408",
            "telephone_number": "540-533-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E MAIN ST",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "226111528",
            "telephone_number": "540-300-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTORE",
        "first_name": "ADRIENNE",
        "middle_name": "BURKE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, VA

Sources for this page

Verify at the official NPI Registry.