Annelise Arceneaux Petry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904001227 Issued in VA

Practice address

720 Moorefield Park Dr
Suite 202
Richmond, VA 23236-3657

Phone

(804) 272-7611

Fax

(804) 560-5574

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• James River Psychotherapy

  • Counselor
  • Richmond, VA
  • NPI 1578513784
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548364151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MOOREFIELD PARK DR",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363657",
            "telephone_number": "804-272-7611",
            "fax_number": "804-560-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MOOREFIELD PARK DR",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363657",
            "telephone_number": "804-272-7611",
            "fax_number": "804-560-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRY",
        "first_name": "ANNELISE",
        "middle_name": "ARCENEAUX",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904001227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert E Petres, MD
• Larisa Petrie, AGACNP-BC
• Steven Petritz
• Rachel Quinn Petrohovich, PA-C
• Frank D. Petruzella, M.D.
• Robert Alan Petry, LICENSED CLINICAL PS
• Richard Joseph Pettit, MD
• Carlton Heath Petty, M.D.
• Ena Pettyjohn, FNP-C
• Benjamin Franklin Petway

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.