Individual provider Active NPI

Rebecca L Ricardo, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1538811450
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904002578 Issued in VA
Practice address
8100 Three Chopt Rd RM 101
Henrico, VA 23229-4833
Phone
(804) 354-1881
Fax
(804) 355-1001
NPI assigned
Jan 21, 2022
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 0904002578 VA Primary

Addresses

Primary practice location

8100 Three Chopt Rd RM 101
Henrico, VA 23229-4833

Mailing address

8100 Three Chopt Rd RM 101
Henrico, VA 23229-4833
Phone (804) 354-1881

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
0904002578VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinators2Inc PastSince Jan 26, 2022 Accepting new patients

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1538811450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 THREE CHOPT RD RM 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294833",
            "telephone_number": "804-354-1881",
            "fax_number": "804-355-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 THREE CHOPT RD RM 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294833",
            "telephone_number": "804-354-1881",
            "fax_number": "804-355-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARDO",
        "first_name": "REBECCA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.