Individual provider Active NPI

Brandy Hart Knighton, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1679219851
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013683 Issued in VA
Practice address
5821 Staples Mill Rd
Henrico, VA 23228-5427
Phone
(804) 264-0966
NPI assigned
May 10, 2022
Reactivated
Aug 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 0904013683 VA Primary

Addresses

Primary practice location

5821 Staples Mill Rd
Henrico, VA 23228-5427

Mailing address

1640 E Parham Rd
Henrico, VA 23228-2368
Phone (804) 272-2000

Other practice location 1

1640 E Parham Rd
Henrico, VA 23228-2368
Phone (804) 272-2000

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
I20221116000743 VA Practitioner - Clinical Social Worker 2961879408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brandy Hart, LLC Clinical CurrentSince Sep 1, 2022 Accepting new patients
Dominion Outpatient Services, LLC Clinical PastSince Dec 1, 2023 Accepting new patients

Locations

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

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1679219851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E PARHAM RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282368",
            "telephone_number": "804-272-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 E Parham Rd",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232282368",
            "country_code": "US",
            "telephone_number": "804-272-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART KNIGHTON",
        "first_name": "BRANDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "deactivation_date": "2022-07-27",
        "reactivation_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.