Active NPI
Jennifer Victoria Ralsten, MA, LCSW, RPT-S
- Clinical Social Worker
- North Chesterfield, VA
National Provider Identifier
1699123745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904009462
- Practice address
- 707 N Courthouse Rd
North Chesterfield, VA 23236-4045 - Phone
- (804) 924-2236
- NPI assigned
- May 31, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 0904009462 | VA | Primary |
Addresses
Primary practice location
707 N Courthouse Rd
North Chesterfield, VA 23236-4045
Mailing address
10549 Greglynn Rd
North Chesterfield, VA 23236-1702
Phone (804) 362-7636
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralsten Consulting & Family Services, LLC | Current | Accepting new patients | |
| Myspectrum LLC | Current | Accepting new patients | |
| Virginia South Psychiatric & Family Services | Current | Accepting new patients | |
| Three Rivers Treatment Center LLC | Past | Accepting new patients |
Locations
4920 Millridge Pkwy E
Ste 216
Midlothian, VA 23112
Phone (804) 302-5169
707 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 332-5696
269 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 861-0700
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
Organizations & group practices 4
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.
-
- Mental Health Counselor
- North Chesterfield, VA
- NPI 1174029359
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Chesterfield, VA
- NPI 1760119457
-
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1699123745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10549 GREGLYNN RD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232361702",
"telephone_number": "804-362-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N COURTHOUSE RD",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232364045",
"telephone_number": "804-924-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALSTEN",
"first_name": "JENNIFER",
"middle_name": "VICTORIA",
"name_prefix": "Ms.",
"credential": "MA, LCSW, RPT-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904009462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.