Individual provider Active NPI

Anne Barrett Nicholson, LCSW

  • Clinical Social Worker
  • Newport News, VA
National Provider Identifier
1669484994
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003498 Issued in VA
Practice address
11818 Rock Landing Dr Ste 101
Newport News, VA 23606-4394
Phone
(757) 595-3900
NPI assigned
Aug 13, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904003498 VA Primary
Social Worker 104100000X 0904003498 VA

Addresses

Primary practice location

11818 Rock Landing Dr Ste 101
Newport News, VA 23606-4394

Mailing address

PO Box 1069
Grafton, VA 23692-1069
Phone (757) 877-9140

Other practice location 1

6515 Geo Wash Mem Hwy Ste 100
Grafton, VA 23692
Phone (757) 877-9140

Other identifiers 3

IdentifierTypeStateIssuer
517071OtherVALUE OPTIONS
268398OtherVAANTHEM
010039967MedicaidVA

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
I20031215000158 VA Practitioner - Clinical Social Worker 1759288285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Jan 5, 2026 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 27, 2023 Accepting new patients
Tidewater Physicians Multispecialty Group PC CurrentSince Sep 27, 2023 Accepting new patients
Frank Reynolds, PH.D., P.C. Past Accepting new patients
Paladin Behavioral and Forensic Services Past Accepting new patients
Hampton Roads Counseling Inc PastSince Jul 25, 2019 Accepting new patients
Hampton Roads Counseling Services Inc Clinical Past Accepting new patients
Hampton Roads Counseling Ctr Inc PastSince Sep 28, 2025 Accepting new patients

Locations

860 Omni Blvd
Ste 128
Newport News, VA 23606

827 Diligence Dr
Ste 100
Newport News, VA 23606

11818 Rock Landing Dr
Ste 101
Newport News, VA 23606
Phone (757) 595-3900

704 Thimble Shoals Blvd
#30
Newport News, VA 23606
Phone (757) 595-4300

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGFHDD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1669484994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1069",
            "city": "GRAFTON",
            "state": "VA",
            "postal_code": "236921069",
            "telephone_number": "757-877-9140",
            "fax_number": "757-877-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 ROCK LANDING DR STE 101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064394",
            "telephone_number": "757-595-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6515 Geo Wash Mem Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "VA",
            "postal_code": "23692",
            "country_code": "US",
            "telephone_number": "757-877-9140",
            "fax_number": "757-877-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "ANNE",
        "middle_name": "BARRETT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003498",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904003498",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "517071",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "268398",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010039967",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.