Individual provider Active NPI

Alicia Gist, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1457721383
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009074 Issued in VA
Practice address
3212 Cutshaw Ave
Suite 303
Richmond, VA 23230-5024
Phone
(804) 353-3324
Fax
(804) 353-4203
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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 0904009074 VA Primary

Addresses

Primary practice location

3212 Cutshaw Ave
Suite 303
Richmond, VA 23230-5024

Mailing address

3212 Cutshaw Ave
Suite 303
Richmond, VA 23230-5024
Phone (804) 353-3324

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
I20151106001657 VA Practitioner - Clinical Social Worker 9739499542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

7301 Forest Ave
Suite 200
Richmond, VA 23226-3792
Phone (804) 374-8112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Jun 5, 2023 Accepting new patients

Locations

5213 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 237-8030

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

7301 Forest Ave
Ste 200
Richmond, VA 23226
Phone (804) 285-5300

Organizations & group practices 2

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1457721383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 CUTSHAW AVE",
            "address_2": "SUITE 303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232305024",
            "telephone_number": "804-353-3324",
            "fax_number": "804-353-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 CUTSHAW AVE",
            "address_2": "SUITE 303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232305024",
            "telephone_number": "804-353-3324",
            "fax_number": "804-353-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "ALICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.