Individual provider Active NPI

Lisa C Asiamah, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1255683389
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007539 Issued in VA
Practice address
6718 Patterson Ave
Richmond, VA 23226-3419
Phone
(804) 282-5644
Fax
(804) 673-2061
NPI assigned
Oct 13, 2012
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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 0904007539 VA Primary

Addresses

Primary practice location

6718 Patterson Ave
Richmond, VA 23226-3419

Mailing address

6718 Patterson Ave
Richmond, VA 23226-3419
Phone (804) 282-5644

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
I20130206000132 VA Practitioner - Clinical Social Worker 7618121351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jewish Family Services, Inc.Group PAC ID 1850296039, 14 clinicians

Practice addresses (Care Compare)

6718 Patterson Ave
Richmond, VA 23226-3419
Phone 8042825644270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007539VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Services Inc CurrentSince Nov 4, 2012 Accepting new patients
Jewish Family Services, Inc Clinical CurrentSince Nov 4, 2012 Accepting new patients

Locations

6718 Patterson Ave
Richmond, VA 23226
Phone (804) 282-5644

Interoperability endpoints

  • Direct secure messaging: lisa.asiamah.1@30451.direct.athenahealth.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": "1350086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1255683389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6718 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-5644",
            "fax_number": "804-673-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6718 PATTERSON AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263419",
            "telephone_number": "804-282-5644",
            "fax_number": "804-673-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASIAMAH",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.