Active NPI
Byra Ciccolo, MSW
- Clinical Social Worker
- Midlothian, VA
National Provider Identifier
1447985296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 5712 Oak Knoll Rd
Midlothian, VA 23112-2400 - Phone
- (804) 608-9704
- Fax
- (855) 700-5573
- NPI assigned
- Jul 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
5712 Oak Knoll Rd
Midlothian, VA 23112-2400
Mailing address
5712 Oak Knoll Rd
Midlothian, VA 23112-2400
Phone (804) 608-9704
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251030004886 | VA | Practitioner - Clinical Social Worker | 5698264455 | Reassigns benefits to 1 organization |
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
- Aevum BH VA LLC
Practice addresses (Care Compare)
1719 Bellevue Ave
Richmond, VA 23227-3901
Phone (804) 446-1710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aevum BH VA LLC | Clinical | Current | Accepting new patients |
| Innovative Care LLC | Clinical | Current | Accepting new patients |
| Aevum Behavioral Health VA LLC | Clinical | Past | Accepting new patients |
Locations
1108 E Main St
Ste 701
Richmond, VA 23219
Phone (540) 538-7694
1719 Bellevue Ave
Richmond, VA 23227
Phone (804) 262-7364
4403 Forest Hill Ave
Richmond, VA 23225
Phone (804) 231-0231
Organizations & group practices 3
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": "1658016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1447985296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 OAK KNOLL RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122400",
"telephone_number": "804-608-9704",
"fax_number": "855-700-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5712 OAK KNOLL RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122400",
"telephone_number": "804-608-9704",
"fax_number": "855-700-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CICCOLO",
"first_name": "BYRA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-17",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.