Individual provider Active NPI

Paige O'Brien, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1174970610
Registry record updated May 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009374 Issued in VA
Practice address
1007 Peachtree Blvd
Richmond, VA 23226-1136
Phone
(804) 288-1788
NPI assigned
May 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2016

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 0904009374 VA Primary

Addresses

Primary practice location

1007 Peachtree Blvd
Richmond, VA 23226-1136

Mailing address

16749 Border Ridge LN
Montpelier, VA 23192-2065
Phone (804) 240-6716

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
I20170726002969 VA Practitioner - Clinical Social Worker 8729358551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5700 Old Richmond Ave
Suite A1
Richmond, VA 23226-1828
Phone (804) 240-6716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paige O'Brien Counseling LLC Clinical CurrentSince May 13, 2021 Accepting new patients
Ashland Physical Therapy Associates Inc PastSince Jun 14, 2017 Accepting new patients

Locations

5700 Old Richmond Ave
Ste A1
Richmond, VA 23226
Phone (804) 240-6716

Organizations & group practices 3

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": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463184000000",
    "number": "1174970610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16749 BORDER RIDGE LN",
            "city": "MONTPELIER",
            "state": "VA",
            "postal_code": "231922065",
            "telephone_number": "804-240-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PEACHTREE BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261136",
            "telephone_number": "804-288-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "PAIGE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2016-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.