Individual provider Active NPI

Ramona Peters, LCSW

  • Clinical Social Worker
  • Chesterfield, VA
National Provider Identifier
1194354563
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010861 Issued in VA
Practice address
9846 Lori Rd Ste 201
Chesterfield, VA 23832-6695
Phone
(804) 419-4122
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0904010861 VA
Social Worker 104100000X
Clinical Social Worker 1041C0700X 0904010861 VA Primary

Addresses

Primary practice location

9846 Lori Rd Ste 201
Chesterfield, VA 23832-6695

Mailing address

9846 Lori Rd Ste 201
Chesterfield, VA 23832-6695
Phone (804) 419-4122

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
I20200724000327 VA Practitioner - Clinical Social Worker 8527482488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Every Age Every Stage LLC 6 clinicians

Practice addresses (Care Compare)

2820 Waterford Lake Dr
Suite 100
Midlothian, VA 23112-3994
Phone 8045627117101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904010861VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Every Age Every Stage LLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

2820 Waterford Lake Dr
Ste 100
Midlothian, VA 23112
Phone (804) 220-0278

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1194354563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9846 LORI RD STE 201",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326695",
            "telephone_number": "804-419-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9846 LORI RD STE 201",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326695",
            "telephone_number": "804-419-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RAMONA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904010861",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.