Individual provider Active NPI

Nellie Parrish, LCSW

  • Clinical Social Worker
  • Victoria, VA
National Provider Identifier
1356761753
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008584 Issued in VA
Practice address
190 Reservoir Rd
Victoria, VA 23974-2242
Phone
(434) 917-9022
NPI assigned
Apr 24, 2014
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 0904008584 VA Primary

Addresses

Primary practice location

190 Reservoir Rd
Victoria, VA 23974-2242

Mailing address

190 Reservoir Rd
Victoria, VA 23974-2242
Phone (434) 917-9022

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
I20140915001491 VA Practitioner - Clinical Social Worker 6901025550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southside Behavioral HealthGroup PAC ID 4284660507, 14 clinicians

Practice addresses (Care Compare)

424 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-2936

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40
Cost
77.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Dec 9, 2022 Accepting new patients
CMH Physician Services, LLC CurrentSince Dec 9, 2022 Accepting new patients
Southside Behavioral Health Clinical CurrentSince May 4, 2024 Accepting new patients
Vaught Christian Counseling PC Past Accepting new patients

Locations

424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936

140 E Ferrell St
South Hill, VA 23970
Phone (434) 447-7375

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

823 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 447-7601

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1356761753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 RESERVOIR RD",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239742242",
            "telephone_number": "434-917-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 RESERVOIR RD",
            "city": "VICTORIA",
            "state": "VA",
            "postal_code": "239742242",
            "telephone_number": "434-917-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "NELLIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, VA

Sources for this page

Verify at the official NPI Registry.