Individual provider Active NPI

Briar Waite, LMSW, LCSW-SUPERVISE

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1609623495
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0906012909 Issued in VA
Practice address
5911 W Broad St
Richmond, VA 23230-2219
Phone
(804) 330-6441
NPI assigned
May 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 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 0906012909 VA Primary

Addresses

Primary practice location

5911 W Broad St
Richmond, VA 23230-2219

Mailing address

8287 Carrolton Ridge PL
Mechanicsville, VA 23111-6525
Phone (804) 467-0888

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
0906012909VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginias Preferred Providers CurrentSince May 7, 2024 Accepting new patients

Locations

5911 W Broad St
Richmond, VA 23230
Phone (804) 213-0259

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": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1609623495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8287 CARROLTON RIDGE PL",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231116525",
            "telephone_number": "804-467-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302219",
            "telephone_number": "804-330-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "BRIAR",
        "credential": "LMSW, LCSW-SUPERVISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0906012909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.