Organization Active NPI

Crippled Children'S Hospital

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1295958361
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
H1842 Issued in VA
Legal business name
CRIPPLED CHILDREN'S HOSPITAL
Practice address
2924 Brook Rd
Richmond, VA 23220-1215
Phone
(804) 321-7474
Fax
(804) 321-2728
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Samuel G. Weidman
Title
Vice Predident & Cfo
Phone
(804) 321-7474

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X H1842 VA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X H1842 VA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X H1842 VA Primary

Addresses

Primary practice location

2924 Brook Rd
Richmond, VA 23220-1215

Mailing address

2924 Brook Rd
Children'S Hospital Credentialing Dept
Richmond, VA 23220-1215
Phone (804) 321-7474

Other names 1

  • Children's Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

2300 Charles St
Ste C
Fredericksburg, VA 22401
Phone (540) 368-1400

1306 Alverser Plz
Midlothian, VA 23113
Phone (804) 379-1872

600 E Broad St
Richmond, VA 23219
Phone (804) 304-3287

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

403 N 11th St
Richmond, VA 23298
Phone (804) 828-0431

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295958361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "address_2": "CHILDREN'S HOSPITAL CREDENTIALING DEPT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-321-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201215",
            "telephone_number": "804-321-7474",
            "fax_number": "804-321-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIPPLED CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WEIDMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "VICE PREDIDENT & CFO",
        "authorized_official_telephone_number": "804-321-7474"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "H1842",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "H1842",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "H1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; 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.