Individual provider Active NPI

Mary E. Woods, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1285832980
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8747 Issued in SC
Practice address
1249 Clearwood Rd
Henrico, VA 23238-4954
Phone
(804) 773-9972
Fax
(804) 773-9972
NPI assigned
Jul 5, 2007
Last updated
Sep 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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 8747 SC Primary

Addresses

Primary practice location

1249 Clearwood Rd
Henrico, VA 23238-4954

Mailing address

1249 Clearwood Rd
Henrico, VA 23238-4954
Phone (804) 773-9972

Other identifiers 1

IdentifierTypeStateIssuer
SW1010MedicaidSC

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
I20180125002657 VA Practitioner - Clinical Social Worker 4981788163 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

10900 Nuckols Rd
Suite 100
Glen Allen, VA 23060-9277
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8747SCMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Behavioral Healthcare Clinical Current Accepting new patients
Thrive Counseling LLC CurrentSince Nov 29, 2017 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Dominion Behavioral Healthcare CurrentSince Jul 1, 2019 Accepting new patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Oct 18, 2022 Accepting new patients

Locations

10900 Nuckols Rd
Ste 100
Glen Allen, VA 23060
Phone (804) 215-3839

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

2301 N Parham Rd
Ste 5
Richmond, VA 23229
Phone (804) 270-1124

2305 N Parham Rd
Ste 3
Richmond, VA 23229
Phone (804) 270-1124

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Interoperability endpoints

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

Organizations & group practices 5

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1285832980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 CLEARWOOD RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384954",
            "telephone_number": "804-773-9972",
            "fax_number": "804-773-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 CLEARWOOD RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384954",
            "telephone_number": "804-773-9972",
            "fax_number": "804-773-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "8747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW1010",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.