Individual provider Active NPI

Rahikya Shannae Orr-Wilson, MSW, LCSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1558766246
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008704 Issued in VA
Practice address
5516 Falmouth St
Suite I02
Richmond, VA 23230-1819
Phone
(804) 337-9834
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008704 VA Primary
Clinical Social Worker 1041C0700X LC50080040 DC

Addresses

Primary practice location

5516 Falmouth St
Suite I02
Richmond, VA 23230-1819

Mailing address

5516 Falmouth Street - Vistas II
Suite 102
Richmond, VA 23230
Phone (804) 337-9834

Other names 1

  • Mrs. Rahikya Shannae Orr-Wilson, MSW, Licsw Professional name

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
I20160608001376 VA Practitioner - Clinical Social Worker 1355590647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 Hull St
Suite 101B
Richmond, VA 23224-4180
Phone (804) 510-0308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50080040DCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rahikya Orr-Wilson, Licsw, LLC Clinical CurrentSince Mar 16, 2016 Accepting new patients

Locations

612 Hull St
Ste 101B
Richmond, VA 23224
Phone (804) 510-0308

5500 Monument Ave
Ste T
Richmond, VA 23226
Phone (804) 503-0592

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1558766246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 FALMOUTH STREET - VISTAS II",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-337-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 FALMOUTH ST",
            "address_2": "SUITE I02",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301819",
            "telephone_number": "804-337-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR-WILSON, MSW, LCSW",
        "first_name": "RAHIKYA",
        "middle_name": "SHANNAE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008704",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50080040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAHIKYA",
            "last_name": "ORR-WILSON, MSW, LICSW",
            "middle_name": "SHANNAE",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.