Individual provider Active NPI

Ellison Spencer-Helms, LCSW

  • Clinical Social Worker
  • New Kent, VA
National Provider Identifier
1720860083
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015240 Issued in VA
Practice address
9407 Cumberland Rd
New Kent, VA 23124-2029
Phone
(804) 966-1750
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904015240 VA Primary

Addresses

Primary practice location

9407 Cumberland Rd
New Kent, VA 23124-2029

Mailing address

601 Hallwood Farms LN
Richmond, VA 23223-2647
Phone (757) 639-3703

Other practice location 1

601 Hallwood Farms Ln
Richmond, VA 23223-2647
Phone (757) 639-3703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904015240VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1720860083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALLWOOD FARMS LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232647",
            "telephone_number": "757-639-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 CUMBERLAND RD",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242029",
            "telephone_number": "804-966-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Hallwood Farms Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232232647",
            "country_code": "US",
            "telephone_number": "757-639-3703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER-HELMS",
        "first_name": "ELLISON",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kent, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.