Individual provider Active NPI

Meredith Bojarski Southwell, MSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1679915052
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009837 Issued in VA
Practice address
1202 Bobbiedell LN
Richmond, VA 23229-5853
Phone
(804) 727-9919
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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 0904009837 VA Primary
Clinical Social Worker 1041C0700X C009786 NC

Addresses

Primary practice location

1202 Bobbiedell LN
Richmond, VA 23229-5853

Mailing address

1202 Bobbiedell LN
Richmond, VA 23229-5853
Phone (804) 727-9919

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
I20240226000003 VA Practitioner - Clinical Social Worker 9830493048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Virginia Institute of Pastoral Care IncGroup PAC ID 5799042586, 6 clinicians

Practice addresses (Care Compare)

2000 Bremo Rd
Suite 105
Richmond, VA 23226-2440
Phone (804) 282-8332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Southwell, LCSW, LLC Clinical CurrentSince Jun 25, 2023 Accepting new patients
Virginia Institute of Pastoral Care Inc CurrentSince Jan 14, 2024 Accepting new patients
Peninsula Pastoral Counseling Center Inc. Clinical PastSince Jan 29, 2020 Accepting new patients

Locations

2000 Bremo Rd
Ste 105
Richmond, VA 23226
Phone (804) 282-8332

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1679915052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 BOBBIEDELL LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295853",
            "telephone_number": "804-727-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 BOBBIEDELL LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295853",
            "telephone_number": "804-727-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHWELL",
        "first_name": "MEREDITH",
        "middle_name": "BOJARSKI",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009837",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009786",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.