Individual provider Active NPI

Angelica Gehlich

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1760058077
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5712 Oak Knoll Rd
Midlothian, VA 23112-2400
Phone
(804) 251-1214
Fax
(855) 700-5593
NPI assigned
May 28, 2021
Last updated
May 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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 Primary

Addresses

Primary practice location

5712 Oak Knoll Rd
Midlothian, VA 23112-2400

Mailing address

5712 Oak Knoll Rd
Midlothian, VA 23112-2400
Phone (804) 251-1214

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Care LLC Clinical CurrentSince Jan 17, 2022 Accepting new patients

Locations

1108 E Main St
Ste 701
Richmond, VA 23219
Phone (540) 538-7694

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1760058077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5712 OAK KNOLL RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122400",
            "telephone_number": "804-251-1214",
            "fax_number": "855-700-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 OAK KNOLL RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122400",
            "telephone_number": "804-251-1214",
            "fax_number": "855-700-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEHLICH",
        "first_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.