Individual provider Active NPI

Rashika Nelson Wallace, MSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1487960985
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4914 Fitzhugh Ave Ste 101
Richmond, VA 23230-3534
Phone
(804) 213-2662
Fax
(888) 855-4860
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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 Primary

Addresses

Primary practice location

4914 Fitzhugh Ave Ste 101
Richmond, VA 23230-3534

Mailing address

4914 Fitzhugh Ave Ste 101
Richmond, VA 23230-3534
Phone (804) 213-2662

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
I20150128002065 VA Practitioner - Clinical Social Worker 2860716511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4914 Fitzhugh Ave
Suite 101
Richmond, VA 23230-3534
Phone (804) 213-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Counseling & Consulting, LLC Clinical CurrentSince Sep 1, 2018 Accepting new patients

Locations

4914 Fitzhugh Ave
Ste 101
Richmond, VA 23230
Phone (804) 213-2662

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1487960985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 FITZHUGH AVE STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303534",
            "telephone_number": "804-213-2662",
            "fax_number": "888-855-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 FITZHUGH AVE STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303534",
            "telephone_number": "804-213-2662",
            "fax_number": "888-855-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "RASHIKA",
        "middle_name": "NELSON",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.