Individual provider Active NPI

Paul B Brasler, L.C.S.W.

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1356485981
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005250 Issued in VA
Practice address
1503 Santa Rosa Rd
Suite 211
Richmond, VA 23229-5105
Phone
(804) 282-9100
Fax
(804) 282-3266
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904005250 VA Primary

Addresses

Primary practice location

1503 Santa Rosa Rd
Suite 211
Richmond, VA 23229-5105

Mailing address

1503 Santa Rosa Rd
Suite 211
Richmond, VA 23229-5105
Phone (804) 282-9100

Other identifiers 1

IdentifierTypeStateIssuer
004945352MedicaidVA

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
I20171003003887 VA Practitioner - Clinical Social Worker 4789959651 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904005250VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alchemy PLLC CurrentSince Apr 18, 2023 Accepting new patients

Locations

8639 Mayland Dr
Ste 102
Richmond, VA 23294
Phone (804) 993-3039

Organizations & group practices 1

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": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1356485981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SANTA ROSA RD",
            "address_2": "SUITE 211",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295105",
            "telephone_number": "804-282-9100",
            "fax_number": "804-282-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SANTA ROSA RD",
            "address_2": "SUITE 211",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295105",
            "telephone_number": "804-282-9100",
            "fax_number": "804-282-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASLER",
        "first_name": "PAUL",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945352",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.