Individual provider Active NPI

David Marshall Wriston, LCSW

  • Clinical Social Worker
  • Lynchburg, VA
National Provider Identifier
1629319926
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004592 Issued in VA
Practice address
620 Court St
Fifth Floor
Lynchburg, VA 24504-1312
Phone
(434) 485-8861
Fax
(434) 485-8877
NPI assigned
Mar 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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 0904004592 VA Primary

Addresses

Primary practice location

620 Court St
Fifth Floor
Lynchburg, VA 24504-1312

Mailing address

620 Court St
Fifth Floor
Lynchburg, VA 24504-1312
Phone (434) 485-8861

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
I20130521000371 VA Practitioner - Clinical Social Worker 2264670892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
West Virginia University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

20564 Timberlake Rd
Suite B
Lynchburg, VA 24502-7246
Phone (434) 384-1594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004592VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Light Counseling, Inc. Clinical CurrentSince May 26, 2025 Accepting new patients
Wellspring of Hope LLC Past Accepting new patients

Locations

1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515

20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 473-7723

Organizations & group practices 2

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1629319926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "address_2": "FIFTH FLOOR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-485-8861",
            "fax_number": "434-485-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 COURT ST",
            "address_2": "FIFTH FLOOR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041312",
            "telephone_number": "434-485-8861",
            "fax_number": "434-485-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRISTON",
        "first_name": "DAVID",
        "middle_name": "MARSHALL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.