Vanessa M Ellison, LCSW, MDIV

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

11418 Crawford Wood Ter
Midlothian, VA 23114-5137

Phone

(804) 876-0407

NPI assigned

Jan 12, 2018

Last updated

Apr 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Virginia Commonwealth University, School of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vanessa Ellison, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midlothian, VA
  • NPI 1437744844
  Medicare reassignment NPD Authorized official
• Henry E. Morris, DSW, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1629328588
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1710495635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11418 CRAWFORD WOOD TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145137",
            "telephone_number": "804-876-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11418 CRAWFORD WOOD TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231145137",
            "telephone_number": "804-876-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "VANESSA",
        "middle_name": "M",
        "credential": "LCSW, MDIV",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14129604",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Gabriel Elias, DMD
• Elite Spine and Rehab, LLC
• Elitetrans LLC
• Maya Tony Eljor, CTRS
• Jorden Anne Elliott-Mixon, LPC
• Jamie Elmore
• Ramona Elmore
• Maggie Elsakr
• Embodied by Me, LLC
• Emergency Physicians Immediate Care Center 1 PLLC

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.
• 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.

Verify at the official NPI Registry.