Terence Derrell Reaves, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009163 Issued in VA

Practice address

1510 Willow Lawn Dr
Richmond, VA 23230-3429

Phone

(804) 359-0613

NPI assigned

Oct 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myspectrum LLC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1174029359
  Medicare reassignment NPD
• Henrico Area Mental Heatlh and Developmental Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1023119773
  Medicare reassignment
• Susan Archer, Inc

  • Clinical Social Worker
  • Glen Allen, VA
  • NPI 1265766208
  Medicare reassignment
• Ashland Physical Therapy Associates Inc

  • Physical Therapist
  • Ashland, VA
  • NPI 1255300190
  NPD (past)

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1295106243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 MILLERS GLEN LN",
            "address_2": "APT 204",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232312363",
            "telephone_number": "919-618-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 WILLOW LAWN DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303429",
            "telephone_number": "804-359-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "TERENCE",
        "middle_name": "DERRELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Healing Center LLC
• Real Life
• Real Nutrition LLC
• Christopher Brandon Ream, MPT, CSCS
• Jason Daniel Reardon, MD
• John Frederick Reavey-Cantwell, MD
• Abrianna Kate Reavis, LCSW
• Carrie S Reavis, CRNA
• Jamie Reavis, RPRS
• Ivan Michael Rebeyka, MD

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.