Richard H Jaglowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000437 Issued in VA

Practice address

3300 Academy Ave
Academy Crossing Medical Plaza
Portsmouth, VA 23703-3205

Phone

(757) 483-6404

Fax

(757) 483-0737

NPI assigned

Sep 30, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Churchland Psychiatric Associates PCGroup PAC ID 5799776654, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Churchland Psychiatric Associates PC

  • Psychiatry Physician
  • Chesapeake, VA
  • NPI 1740359223
  Medicare reassignment Care Compare group NPD
• Riverside Physician Services Inc

  dba Churchland Psychiatric Associates

  • Psychiatry Physician
  • Portsmouth, VA
  • NPI 1821421454

  Clinical

  NPD (past)
• Tidewater Psychotherapy Services

  • Addiction (Substance Use Disorder) Counselor
  • Virginia Beach, VA
  • NPI 1164536496
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407843840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "address_2": "ACADEMY CROSSING MEDICAL PLAZA",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "address_2": "ACADEMY CROSSING MEDICAL PLAZA",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGLOWSKI",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "142161",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "O80403",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Maigol Jackson, MD
• Ronny Lynn Jackson, M.D.
• Theresa G Jackson, MD
• Helene Ruth Jacobson, PHARM.D.
• Vanda Gibson Jaggard, REGISTERED NURSE
• James Bentley Treatment Program (James Bentley Intensive In-Home)
• James Bentley Treatment Program (Haven House for Girls)
• James Bentley Treatment Program
• James Bentley Treatment Program
• James Bentley Treatment Program

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.