Individual provider Active NPI

Ellen Garrabrant, L.C.S.W.

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1457624967
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007773 Issued in VA
Practice address
8545 Patterson Ave Ste 102
Henrico, VA 23229-6455
Phone
(804) 774-6705
Fax
(804) 556-6877
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 0904007773 VA Primary

Addresses

Primary practice location

8545 Patterson Ave Ste 102
Henrico, VA 23229-6455

Mailing address

8545 Patterson Ave Ste 102
Henrico, VA 23229-6455
Phone (804) 774-6705

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
I20120823000076 VA Practitioner - Clinical Social Worker 5597912790 Practice locations: Henrico, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8545 Patterson Ave
Suite 102
Henrico, VA 23229-6455
Phone (804) 774-6705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007773VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy PastSince Jun 11, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1457624967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8545 PATTERSON AVE STE 102",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296455",
            "telephone_number": "804-774-6705",
            "fax_number": "804-556-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 PATTERSON AVE STE 102",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296455",
            "telephone_number": "804-774-6705",
            "fax_number": "804-556-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRABRANT",
        "first_name": "ELLEN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-14",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.