Individual provider Active NPI

Jessica L Clary, LCSW

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1619689296
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904014655 Issued in VA
Practice address
8005 Creighton Pkwy Ste C
Mechanicsville, VA 23111-4594
Phone
(804) 495-0310
NPI assigned
Dec 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 0904014655 VA Primary

Addresses

Primary practice location

8005 Creighton Pkwy Ste C
Mechanicsville, VA 23111-4594

Mailing address

8005 Creighton Pkwy Ste C
Mechanicsville, VA 23111-4594
Phone (804) 495-0310

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
I20250908003230 VA Practitioner - Clinical Social Worker 4183124944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7486 Lou LN
Mechanicsville, VA 23111-2260
Phone (804) 495-0310

8005 Creighton Pkwy
Suite C
Mechanicsville, VA 23111-4594

8005 Creighton Pkwy C
Mechanicsville, VA 23111-4594

8814 Fargo Rd
Suite 125
Richmond, VA 23229-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904014655VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Essence Therapy and Consulting Services, PLLC Clinical CurrentSince Jun 30, 2025 Accepting new patients

Locations

8005 Creighton Pkwy
Ste C
Mechanicsville, VA 23111
Phone (804) 495-0310

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1619689296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 CREIGHTON PKWY STE C",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114594",
            "telephone_number": "804-495-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 CREIGHTON PKWY STE C",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114594",
            "telephone_number": "804-495-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904014655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.