Individual provider Active NPI

Wanda Willard Hill, LCSW, CSOTP

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1225042450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005735 Issued in VA
Practice address
5412 Glenside Dr Ste F
Richmond, VA 23228-3995
Phone
(804) 282-5880
Fax
(804) 288-2029
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0904005735 VA Primary

Addresses

Primary practice location

5412 Glenside Dr Ste F
Richmond, VA 23228-3995

Mailing address

7713 Whirlaway Dr
Midlothian, VA 23112-1534
Phone (804) 519-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904005735VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225042450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 WHIRLAWAY DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231121534",
            "telephone_number": "804-519-5988",
            "fax_number": "804-323-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 GLENSIDE DR STE F",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232283995",
            "telephone_number": "804-282-5880",
            "fax_number": "804-288-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "WANDA",
        "middle_name": "WILLARD",
        "credential": "LCSW, CSOTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.