Individual provider Active NPI

Katelyn Hannah Speer, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1669290177
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016135 Issued in VA
Practice address
2807 N Parham Rd
Richmond, VA 23294-4410
Phone
(804) 621-2090
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 0904016135 VA Primary

Addresses

Primary practice location

2807 N Parham Rd
Richmond, VA 23294-4410

Mailing address

800 Semmes Ave Apt 811
Richmond, VA 23224-2367
Phone (804) 683-3267

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
I20241028000164 VA Practitioner - Mental Health Counselor 5092248211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Focus IncGroup PAC ID 6608125836, 7 clinicians

Practice addresses (Care Compare)

2807 N Parham Rd
Suite 300
Henrico, VA 23294-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Focus, LLC CurrentSince Oct 8, 2024 Accepting new patients
Family Focus, LLC PastSince Aug 27, 2023 Accepting new patients

Locations

2807 N Parham Rd
Ste 300
Richmond, VA 23294
Phone (804) 261-2090

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": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1669290177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SEMMES AVE APT 811",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242367",
            "telephone_number": "804-683-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N PARHAM RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944410",
            "telephone_number": "804-621-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "KATELYN",
        "middle_name": "HANNAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.