Individual provider Active NPI

Jennifer Victoria Ralsten, MA, LCSW, RPT-S

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1699123745
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009462 Issued in VA
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

Updated by the provider on Mar 9, 2021

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161006001729 VA Practitioner - Clinical Social Worker 6901194919 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Ralsten Consulting & Family Services, LLC CurrentSince May 17, 2023 Accepting new patients
Myspectrum LLC CurrentSince Mar 26, 2019 Accepting new patients
Virginia South Psychiatric & Family Services CurrentSince Sep 2, 2016 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.