Individual provider Active NPI

Cheryl Ann Mansfield, LCSW, CSAC

  • Clinical Social Worker
  • Yorktown, VA
National Provider Identifier
1265503650
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005024 Issued in VA
Practice address
4034 George Washington Mem Hwy
Yorktown, VA 23692-2620
Phone
(757) 598-2244
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005024 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102038 VA

Addresses

Primary practice location

4034 George Washington Mem Hwy
Yorktown, VA 23692-2620

Mailing address

2202 Executive Dr Ste C
Hampton, VA 23666-6604
Phone (757) 827-7707

Other identifiers 1

IdentifierTypeStateIssuer
010071046MedicaidVA

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
I20230927003363 VA Practitioner - Clinical Social Worker 0749634533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Counseling Center, Inc.Group PAC ID 8729091715, 66 clinicians

Practice addresses (Care Compare)

4034 George Washington Mem Hwy
Yorktown, VA 23692-2620
Phone (757) 827-7707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Genesis Counseling Center, Inc. Addiction (Substance Use Disorder) CurrentSince Sep 12, 2023 Accepting new patients

Locations

2202 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 838-5055

2208 Executive Dr
Hampton, VA 23666
Phone (757) 720-2210

4034 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 598-2244

Interoperability endpoints

  • Direct secure messaging: cherylmansfield@tdh.allscriptsdirect.net

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1265503650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 EXECUTIVE DR STE C",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666604",
            "telephone_number": "757-827-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 GEORGE WASHINGTON MEM HWY",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236922620",
            "telephone_number": "757-598-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005024",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010071046",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

Verify at the official NPI Registry.