Charles Stuckey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904017058 Issued in VA

Practice address

2727 Enterprise Pkwy
Richmond, VA 23294-6341

Phone

(602) 451-2219

NPI assigned

Aug 9, 2019

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• In Harmony Wellness Ihw LLC

  • Social Worker
  • Hampton, VA
  • NPI 1477047546
  Medicare reassignment
• Compass Youth Services

  dba Compass Behavioral Group

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1285992743
  NPD (past)
• Compass Youth Services

  dba Compass Behavioral Group

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1952339046
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1760037386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 ENTERPRISE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232946341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 ENTERPRISE PKWY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232946341",
            "telephone_number": "602-451-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904017058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin L. Stubbins, PHD
• Lauren Alexis Stubbs, DPT
• Adam Stucke, M.S. LCGC
• Megan A. Stucke, LCSW
• Michael Robert Stuckert
• Charles Porter Stuckey, MD
• Rachel Stumpf, MS SLP-CF
• Syleena Sharlene Sturdifen, MPA, PA-C
• Anne Sturgeon, PMHNP
• Matthew Ryan Sturm, MD

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, 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 Jul 15, 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.