Individual provider Active NPI

Luke Giannini, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1396387858
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011311 Issued in VA
Practice address
5700 W Grace St Ste 105a
Richmond, VA 23226-1834
Phone
(804) 442-3116
Fax
(804) 523-4958
NPI assigned
Oct 16, 2019
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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 0904011311 VA Primary

Addresses

Primary practice location

5700 W Grace St Ste 105a
Richmond, VA 23226-1834

Mailing address

5700 W Grace St Ste 105a
Richmond, VA 23226-1834
Phone (804) 442-3116

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
I20201202003167 VA Practitioner - Clinical Social Worker 9931510575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mind Health Center LLCGroup PAC ID 8022429661, 4 clinicians

Practice addresses (Care Compare)

5700 W Grace St
Suite 105a
Richmond, VA 23226-1834
Phone (804) 442-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind Health Center, LLC Clinical CurrentSince Oct 25, 2020 Accepting new patients

Locations

5511 Staples Mill Rd
Ste 200
Richmond, VA 23228
Phone (804) 442-3116

5700 W Grace St
Ste 105A
Richmond, VA 23226
Phone (804) 282-1885

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, 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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1396387858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GRACE ST STE 105A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261834",
            "telephone_number": "804-442-3116",
            "fax_number": "804-523-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GRACE ST STE 105A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261834",
            "telephone_number": "804-442-3116",
            "fax_number": "804-523-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNINI",
        "first_name": "LUKE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.