Individual provider Active NPI

Jean M Skrincosky, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1356475099
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014955 Issued in PA
Practice address
2301 N Parham Rd Ste 5
Richmond, VA 23229-3171
Phone
(804) 270-1124
Fax
(804) 270-2090
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904002655 VA
Clinical Social Worker 1041C0700X CW014955 PA Primary

Addresses

Primary practice location

2301 N Parham Rd Ste 5
Richmond, VA 23229-3171

Mailing address

10573 Orchard Blossom Dr
Glen Allen, VA 23059-4694
Phone (804) 402-8864

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
I20230601002439 VA Practitioner - Clinical Social Worker 5193820306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Behavioral HealthcareGroup PAC ID 6709803570, 26 clinicians

Practice addresses (Care Compare)

2301 N Parham Rd
Suite 5
Richmond, VA 23229-3171
Phone (804) 270-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Behavioral Healthcare CurrentSince Apr 22, 2023 Accepting new patients
Dominion Behavioral Healthcare Clinical Current Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1356475099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10573 ORCHARD BLOSSOM DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594694",
            "telephone_number": "804-402-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N PARHAM RD STE 5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293171",
            "telephone_number": "804-270-1124",
            "fax_number": "804-270-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRINCOSKY",
        "first_name": "JEAN",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002655",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.