Individual provider Active NPI

Destiny Rain Spain, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1538937362
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016176 Issued in VA
Practice address
9321 Midlothian Tpke Ste C
North Chesterfield, VA 23235-4941
Phone
(804) 252-4525
NPI assigned
Dec 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 0904016176 VA Primary

Addresses

Primary practice location

9321 Midlothian Tpke Ste C
North Chesterfield, VA 23235-4941

Mailing address

14916 Blue Rock Dr
Chester, VA 23836-6160
Phone (804) 549-2117

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
I20240417001078 VA Practitioner - Clinical Social Worker 3173962685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Virginia Commonwealth University, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circle of Wellness LLCGroup PAC ID 7416287842, 5 clinicians

Practice addresses (Care Compare)

9321 Midlothian Tpke
Suite C
North Chesterfield, VA 23235-4941
Phone (804) 252-4525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904016176VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
After the Rain Counseling LLC Clinical CurrentSince May 18, 2025 Accepting new patients

Organizations & group practices 2

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1538937362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14916 BLUE ROCK DR",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238366160",
            "telephone_number": "804-549-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 MIDLOTHIAN TPKE STE C",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354941",
            "telephone_number": "804-252-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "DESTINY",
        "middle_name": "RAIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.