Individual provider Active NPI

Richelle Arnette Burney, LCSW, CAADC, CSAC

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1255842670
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904010294 Issued in VA
Practice address
4099 Foxwood Dr Ste 200
Virginia Beach, VA 23462
Phone
(757) 332-1065
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2168
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710103164 VA
Clinical Social Worker 1041C0700X 0904010294 VA Primary

Addresses

Primary practice location

4099 Foxwood Dr Ste 200
Virginia Beach, VA 23462

Mailing address

9535 Bayfront Drive
Unit 312
Norfolk, VA 23518
Phone (757) 332-1065

Other practice location 1

1712 Airline Blvd
Portsmouth, VA 23707-3911
Phone (757) 332-1065

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
I20201202003146 VA Practitioner - Clinical Social Worker 6204247844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0710103164VAMDAddiction (Substance Use Disorder) Counselor
0904010294VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcorp Inc Addiction (Substance Use Disorder) Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1255842670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 BAYFRONT DRIVE",
            "address_2": "UNIT 312",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23518",
            "telephone_number": "757-332-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 FOXWOOD DR STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-332-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Airline Blvd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237073911",
            "country_code": "US",
            "telephone_number": "757-332-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNEY",
        "first_name": "RICHELLE",
        "middle_name": "ARNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAADC, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "2168",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103164",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.