Active NPI
Wendy Wasserstrom, LCSW
- Clinical Social Worker
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012682
- Practice address
- 2025 E Main St Ste 216
Richmond, VA 23223-7073 - Phone
- (804) 644-0774
- NPI assigned
- Feb 16, 2021
- 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 | 0904012682 | VA | Primary |
Addresses
Primary practice location
2025 E Main St Ste 216
Richmond, VA 23223-7073
Mailing address
116 S Davis Ave Apt 5105
Richmond, VA 23220-5159
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Florida State University College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1901 E Franklin St
Suite 108
Richmond, VA 23223-6966
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| Calm Waters Counseling, LLC | Current | Accepting new patients |
Locations
12093 Gayton Rd
Ste 95
Henrico, VA 23238
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
2025 E Main St
Ste 216
Richmond, VA 23223
Phone (804) 644-0774
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.
-
- Mental Health Counselor
- Lynchburg, VA
- NPI 1215181300
-
- Social Worker
- Richmond, VA
- NPI 1982234092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1467045849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S DAVIS AVE APT 5105",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232205159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 E MAIN ST STE 216",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232237073",
"telephone_number": "804-644-0774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERSTROM",
"first_name": "WENDY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-16",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.