Individual provider Active NPI

Julie Anne Samitt, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1275994865
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009092 Issued in VA
Practice address
11505 Allecingie Pkwy
Richmond, VA 23235-4301
Phone
(804) 767-0111
NPI assigned
Mar 10, 2016
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 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 0904009092 VA Primary

Addresses

Primary practice location

11505 Allecingie Pkwy
Richmond, VA 23235-4301

Mailing address

11505 Allecingie Pkwy
N Chesterfield, VA 23235-4301
Phone (804) 767-0111

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
0904009092VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Center for Eating Disorders Clinical Current Accepting new patients
Knopp Nutrition LLC Past Accepting new patients

Locations

11505 Allecingie Pkwy
North Chesterfield, VA 23235
Phone (540) 324-9585

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1275994865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11505 ALLECINGIE PKWY",
            "city": "N CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354301",
            "telephone_number": "804-767-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11505 ALLECINGIE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354301",
            "telephone_number": "804-767-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMITT",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009092",
            "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 Jan 8, 2024; 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.