Laura Ailene Pearson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904015243 Issued in VA

Practice address

1800 Briarcliff Rd
Richmond, VA 23225-2306

Phone

(804) 223-1522

NPI assigned

Apr 27, 2023

Last updated

Apr 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Blossom Therapeutic Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, VA
  • NPI 1780373373
  NPD Authorized official

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1609564517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 BUFORD RD # 253",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232352423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BRIARCLIFF RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232252306",
            "telephone_number": "804-223-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "LAURA",
        "middle_name": "AILENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwina Anita Pearsall, COUNSELOR
• Thomas Ballou Pearsall
• Pearsanta, Inc.
• Dierdre Holly Pearson, LCSW, CSAC
• Kathleen T. Pearson, MD
• Samuel Pearson, PT, DPT
• Sherri Pearson, OTR/L, ATP
• Michael Pease, LCSW
• Austin Ellerbe Peat, MD
• Mary Ann Peberdy, M.D.

• 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 Apr 27, 2023; 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.