Abigail Izetta Siegrist, LCSW
Individual provider Active NPI Clinical Social Worker · Onancock, VA
NPI 1346744158 · NPPES record last updated Mar 19, 2018
Key facts
- NPI
- 1346744158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904010265 (VA)
- Practice address
- 73 Market St
Onancock, VA 23417-4223 - Phone
- (757) 276-8662
- NPI assigned
- Mar 19, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2131 Bayberry St
Virginia Beach, VA 23451-1401
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current |
Accepting new patients | |
| Innovative Renewal Therapy Center LLC | Clinical | Past | Accepting new patients |
Locations
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904010265 | VA | Yes |
Addresses
Primary practice location
73 Market St
Onancock, VA 23417-4223
Mailing address
73 Market St
Onancock, VA 23417-4223
Phone (757) 276-8662
Other providers in Onancock, VA
- Alexander A Schult
- Prabu Selvam
- Shore Health Services Inc
- Shore Health Services Inc.
- Sarah Jayne Shotwell
- Debra Kay Spatz
- Barbara Ann Ware
- Elizabeth Waring
- Wayne Y Chin D.P.M. PLLC
- Waypoint Counseling, LLC
All providers in Onancock, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.