Active NPI
Allison P Revenson, LCSW
- Clinical Social Worker
- Glen Allen, VA
National Provider Identifier
1689787392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904001651
- Practice address
- 5213 Hickory Park Drive
Ste a
Glen Allen, VA 23059 - Phone
- (804) 237-8030
- Fax
- (804) 237-8028
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904001651 | VA | Primary |
Addresses
Primary practice location
5213 Hickory Park Drive
Ste a
Glen Allen, VA 23059
Mailing address
5213 Hickory Park Drive
Ste a
Glen Allen, VA 23059
Phone (804) 237-8030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031547 | Other | VA | VALUE OPTIONS |
| 147178 | Other | VA | ANTHEM BCBS |
| 2080448 | Other | VA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3900 Westerre Pkwy
Suite 300
Richmond, VA 23233-1339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689787392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5213 HICKORY PARK DRIVE",
"address_2": "STE A",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "23059",
"telephone_number": "804-237-8030",
"fax_number": "804-730-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5213 HICKORY PARK DRIVE",
"address_2": "STE A",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "23059",
"telephone_number": "804-237-8030",
"fax_number": "804-237-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVENSON",
"first_name": "ALLISON",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904001651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "031547",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "147178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2080448",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- 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.