Individual provider Active NPI

Cyreeta Charlina Price, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1508151747
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007450 Issued in VA
Practice address
2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone
(804) 303-9622
Fax
(804) 716-4318
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 0904007450 VA Primary

Addresses

Primary practice location

2808 Fox Chase LN
Midlothian, VA 23112-4008

Mailing address

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

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
I20130528000279 VA Practitioner - Clinical Social Worker 8628216900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoe Therapy Services, LLCGroup PAC ID 2769603901, 31 clinicians

Practice addresses (Care Compare)

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

4191 Innslake Dr
Suite 211
Glen Allen, VA 23060-3324
Phone 8043039622104

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
67.11
Improvement activities
40
Cost
74.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007450VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Southeast LLC CurrentSince May 15, 2020 Accepting new patients
Zoe Therapy Services, LLC Clinical CurrentSince May 21, 2018 Accepting new patients
Monarch Mental Health and Wellness, LLC Past Accepting new patients
Zoestyle Medicine PastSince Sep 25, 2022 Accepting new patients

Locations

7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472

4191 Innslake Dr
Ste 211
Glen Allen, VA 23060
Phone (804) 303-9622

2808 Fox Chase Ln
Midlothian, VA 23112
Phone (804) 303-9622

512 Houston St
Staunton, VA 24401
Phone (540) 886-2335

Organizations & group practices 4

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1508151747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124008",
            "telephone_number": "804-303-9622",
            "fax_number": "804-716-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124008",
            "telephone_number": "804-303-9622",
            "fax_number": "804-716-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "CYREETA",
        "middle_name": "CHARLINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.