Individual provider Active NPI

Rachel Susanne Lim, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1265253629
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904017531 Issued in VA
Practice address
1503 Santa Rosa Road
Suite 211
Henrico, VA 23229
Phone
(804) 419-3283
Fax
(804) 716-4318
NPI assigned
Oct 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 0904017531 VA Primary

Addresses

Primary practice location

1503 Santa Rosa Road
Suite 211
Henrico, VA 23229

Mailing address

4191 Innslake Dr Ste 211
Glen Allen, VA 23060-3324
Phone (804) 303-9622

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
I20241108003546 VA Practitioner - Mental Health Counselor 9234663550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoe Therapy Services, LLCGroup PAC ID 2769603901, 31 clinicians

Practice addresses (Care Compare)

7201 Glen Forest Dr
Suite 304
Richmond, VA 23226-3759
Phone (804) 303-9622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904017531VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zoestyle Medicine CurrentSince Oct 20, 2024 Accepting new patients
Zoe Therapy Services, LLC Clinical CurrentSince Oct 21, 2024 Accepting new patients

Locations

4191 Innslake Dr
Ste 211
Glen Allen, VA 23060
Phone (804) 303-9622

1503 Santa Rosa Rd
Rm 211
Richmond, VA 23229
Phone (804) 282-9100

7201 Glen Forest Dr
Ste 304
Richmond, VA 23226
Phone (804) 303-9622

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1265253629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 INNSLAKE DR STE 211",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603324",
            "telephone_number": "804-303-9622",
            "fax_number": "804-401-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SANTA ROSA ROAD",
            "address_2": "SUITE 211",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23229",
            "telephone_number": "804-419-3283",
            "fax_number": "804-716-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "RACHEL",
        "middle_name": "SUSANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.