Active NPI
Veronica Davis, LCSW
- Clinical Social Worker
- Chester, VA
National Provider Identifier
1518037449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 501 Fulcher LN
Chester, VA 23836-2714 - Phone
- (804) 530-2013
- Fax
- (804) 530-5159
- NPI assigned
- Nov 8, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | VA | Primary | |
| Clinical Social Worker | 1041C0700X | 0904003657 | VA |
Addresses
Primary practice location
501 Fulcher LN
Chester, VA 23836-2714
Mailing address
501 Fulcher LN
Chester, VA 23836-2714
Phone (804) 530-2013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8911258 | Medicaid | VA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904003657 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1518037449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FULCHER LN",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362714",
"telephone_number": "804-530-2013",
"fax_number": "804-530-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 FULCHER LN",
"city": "CHESTER",
"state": "VA",
"postal_code": "238362714",
"telephone_number": "804-530-2013",
"fax_number": "804-530-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "VERONICA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904003657",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8911258",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.