Active NPI
Richard Sumner, LCSW
- Clinical Social Worker
- Ashland, VA
National Provider Identifier
1457588097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006675
- Practice address
- 12300 Washington Hwy
Ashland, VA 23005-7646 - Phone
- (804) 365-4200
- Fax
- (804) 365-4252
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- 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 | 0904006675 | VA | Primary |
Addresses
Primary practice location
12300 Washington Hwy
Ashland, VA 23005-7646
Mailing address
12300 Washington Hwy
Ashland, VA 23005-7646
Phone (804) 365-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4945255 | Medicaid | VA |
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 |
|---|---|---|---|---|
| I20100826001120 | VA | Practitioner - Clinical Social Worker | 2163464447 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mental Health Specialty Group PASailor Health Medical PA
Practice addresses (Care Compare)
Churchville, VA 24421
Phone (323) 205-7088
1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (240) 200-0173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006675 | VA | MD | Clinical Social Worker |
| 10345 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover County Board of Supervisors | Current | Accepting new patients | |
| Hanover County Board of Supervisors | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Threshold Services, Inc. | Past | Accepting new patients | |
| Affiliated Sante Group | Past | Accepting new patients | |
| Rock Creek Foundation | Past | Accepting new patients |
Locations
12300 Washington Hwy
Ashland, VA 23005
Phone (804) 365-4222
8475 Bell Creek Rd
Mechanicsville, VA 23116
Phone (804) 365-6760
Organizations & group practices 7
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.
-
- Psychologist
- Coral Gables, FL
- NPI 1841012960
-
- Ambulance
- Hanover, VA
- NPI 1245275403
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
- NPI 1083720569
-
- Adult Mental Health Clinic/Center
- Silver Spring, MD
- NPI 1427780642
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver Spring, MD
- NPI 1255379947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1457588097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 WASHINGTON HWY",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057646",
"telephone_number": "804-365-4200",
"fax_number": "804-365-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 WASHINGTON HWY",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057646",
"telephone_number": "804-365-4200",
"fax_number": "804-365-4252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "RICHARD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904006675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4945255",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.