Yasaman Aghaeinejad, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011377 Issued in VA

Practice address

7489 Right Flank Rd Ste 330
Mechanicsville, VA 23116-3845

Phone

(804) 398-8401

NPI assigned

Mar 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Old Towne Counseling Services LLCGroup PAC ID 7618149865, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Old Towne Counseling Services, LLC

  • Mental Health Counselor
  • Mechanicsville, VA
  • NPI 1487855003
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1679107346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 HERMITAGE RD UNIT 2324",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232201342",
            "telephone_number": "804-405-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 RIGHT FLANK RD STE 330",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163845",
            "telephone_number": "804-398-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGHAEINEJAD",
        "first_name": "YASAMAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://otcounseling.com/",
            "affiliation": "N",
            "endpointDescription": "Practice Website",
            "address_1": "7489 Right Flank Rd Ste 330",
            "city": "Mechanicsville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231163845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Adams, CNM
• Darlene Michelle Adkins, LPTA
• Advanced Adult Day Health Center LLC
• Agap Consumer Directed Services, LLC (Good Old Days - At Home Care)
• Jessica Agee, PHARMD
• Karin Agustin, LSLP
• Olatunde Akinfolajimi, NURSE PRACTITIONER
• Haydar Al-Dabbagh
• Hiba Alam, MD
• Elizabeth Albee, O.T.

• Clinical Social Worker in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.