Individual provider Active NPI

Jefferson Campbell Knighton, LCSW

  • Clinical Social Worker
  • Chesterfield, VA
National Provider Identifier
1639819865
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013713 Issued in VA
Practice address
6801 Lucy Corr Boulevard
Chesterfield, VA 23832
Phone
(804) 717-6756
NPI assigned
Mar 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 0904013713 VA Primary

Addresses

Primary practice location

6801 Lucy Corr Boulevard
Chesterfield, VA 23832

Mailing address

PO Box 92
Chesterfield, VA 23832-0001

Other practice location 1

5821 Staples Mill Rd
Henrico, VA 23228-5427
Phone (804) 264-0966

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
I20220628002462 VA Practitioner - Clinical Social Worker 8123407798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5821 Staples Mill Rd
Richmond, VA 23228-5427
Phone (804) 264-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Chesterfield Virginia Clinical CurrentSince Mar 16, 2022 Accepting new patients
County of Chesterfield Virginia CurrentSince Mar 16, 2022 Accepting new patients
Brandy Hart, LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

6801 Lucy Corr Ct
Chesterfield, VA 23832
Phone (804) 748-1227

5821 Staples Mill Rd
Richmond, VA 23228
Phone (804) 221-6682

Organizations & group practices 3

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": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1639819865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238320001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LUCY CORR BOULEVARD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23832",
            "telephone_number": "804-717-6756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5821 Staples Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232285427",
            "country_code": "US",
            "telephone_number": "804-264-0966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHTON",
        "first_name": "JEFFERSON",
        "middle_name": "CAMPBELL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.