Individual provider Active NPI

Abigail Mento, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1376226365
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014547 Issued in VA
Practice address
8100 Three Chopt Rd RM 110
Richmond, VA 23229-4833
Phone
(804) 517-2501
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 0904014547 VA Primary

Addresses

Primary practice location

8100 Three Chopt Rd RM 110
Richmond, VA 23229-4833

Mailing address

1248 Carmia Way # 1092
North Chesterfield, VA 23235-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 18, 2026 through May 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904014547VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1376226365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 CARMIA WAY # 1092",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 THREE CHOPT RD RM 110",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294833",
            "telephone_number": "804-517-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTO",
        "first_name": "ABIGAIL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.