Individual provider Active NPI

Katrina H Mansinon, LCSW MSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1194908079
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006716 Issued in VA
Practice address
1901 Huguenot Rd
Suite 201
Richmond, VA 23235
Phone
(804) 254-2297
Fax
(804) 378-2078
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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 0904006716 VA Primary

Addresses

Primary practice location

1901 Huguenot Rd
Suite 201
Richmond, VA 23235

Mailing address

PO Box 35395
Suite 201
Richmond, VA 23235-4311
Phone (804) 378-3364

Other identifiers 1

IdentifierTypeStateIssuer
1194908079MedicaidVA

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
I20081124000804 VA Practitioner - Clinical Social Worker 4284794082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006716VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emmett L. Jones PH.D. & Associates CurrentSince Oct 6, 2025 Accepting new patients
Doctor Mays-Couch LLC Clinical CurrentSince Nov 25, 2024 Accepting new patients
Light Counseling, Inc. Clinical PastSince May 19, 2024 Accepting new patients
Resource Guidance Services Inc Clinical Past Accepting new patients

Locations

1014 W 3rd St
Farmville, VA 23901
Phone (434) 315-1214

2819 N Parham Rd
Ste 120
Richmond, VA 23294
Phone (804) 293-3640

Organizations & group practices 4

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": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1194908079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35395",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354311",
            "telephone_number": "804-378-3364",
            "fax_number": "804-378-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HUGUENOT RD",
            "address_2": "SUITE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-254-2297",
            "fax_number": "804-378-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSINON",
        "first_name": "KATRINA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCSW MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194908079",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.