Active NPI
Emma Yackso, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1306693106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012642
- Practice address
- 1004 W 47TH St
Richmond, VA 23225-4649 - Phone
- (434) 996-8166
- NPI assigned
- May 1, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012642 | VA | Primary |
Addresses
Primary practice location
1004 W 47TH St
Richmond, VA 23225-4649
Mailing address
1004 W 47TH St
Richmond, VA 23225-4649
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904012642 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1306693106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 W 47TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 W 47TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254649",
"telephone_number": "434-996-8166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACKSO",
"first_name": "EMMA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012642",
"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 May 1, 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.