Individual provider Active NPI

Alva Carter Pope, LCSW

  • Clinical Social Worker
  • Petersburg, VA
National Provider Identifier
1740439363
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006909 Issued in VA
Practice address
34 Medical Park Blvd Ste a
Petersburg, VA 23805-9283
Phone
(804) 609-0175
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 0904006909 VA Primary

Addresses

Primary practice location

34 Medical Park Blvd Ste a
Petersburg, VA 23805-9283

Mailing address

34 Medical Park Blvd Ste a
Petersburg, VA 23805-9283
Phone (804) 609-0175

Other names 1

  • Ms. Alva Fabrienne Carter-Kershaw Former name

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
I20250729000728 VA Practitioner - Clinical Social Worker 6406363068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Love and Humble Medical CareGroup PAC ID 5890177539, 4 clinicians

Practice addresses (Care Compare)

9844 Lori Rd
Suite 102
Chesterfield, VA 23832-6691
Phone (203) 507-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006909VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruach Consulting LLC Clinical Current Accepting new patients
Love and Humble Medical Care CurrentSince Jun 1, 2025 Accepting new patients
Touchstone Residential Treatment Services, LLC Current Accepting new patients
A Knew You and Wellness LLC Past Accepting new patients
Spero Health of Virginia, LLC PastSince May 19, 2022 Accepting new patients

Locations

9844 Lori Rd
Ste 102
Chesterfield, VA 23832
Phone (203) 507-5653

Organizations & group practices 5

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1740439363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MEDICAL PARK BLVD STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059283",
            "telephone_number": "804-609-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MEDICAL PARK BLVD STE A",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059283",
            "telephone_number": "804-609-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "ALVA",
        "middle_name": "CARTER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALVA",
            "last_name": "CARTER-KERSHAW",
            "middle_name": "FABRIENNE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

Verify at the official NPI Registry.