Individual provider Active NPI

Virginia Impelido-Dayoan, MSW

  • Social Worker
  • Williamsburg, VA
National Provider Identifier
1467062455
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0906014669 Issued in VA
Practice address
1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303
Phone
(757) 603-4603
NPI assigned
Aug 4, 2020
Last updated
Sep 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0906014669 VA Primary

Addresses

Primary practice location

1315 Jamestown Rd Ste 203
Williamsburg, VA 23185-3303

Mailing address

6261 N Mayfair Cir
Williamsburg, VA 23188-1789
Phone (760) 559-7563

Other names 1

  • Virginia Pruitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906014669VAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Partners, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

1315 Jamestown Rd
Ste 203
Williamsburg, VA 23185

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1467062455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 N MAYFAIR CIR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881789",
            "telephone_number": "760-559-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 JAMESTOWN RD STE 203",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853303",
            "telephone_number": "757-603-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMPELIDO-DAYOAN",
        "first_name": "VIRGINIA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0906014669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "PRUITT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.