Individual provider Active NPI

Rebecca Elaine Sherard, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1780029538
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008158 Issued in VA
Practice address
1510 N 28TH St
Suite 101
Richmond, VA 23223-5311
Phone
(804) 371-1670
Fax
(804) 371-1671
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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 0904008158 VA Primary

Addresses

Primary practice location

1510 N 28TH St
Suite 101
Richmond, VA 23223-5311

Mailing address

1510 N 28TH St
Suite 101
Richmond, VA 23223-5311
Phone (804) 371-1670

Other identifiers 1

IdentifierTypeStateIssuer
C06115OtherVAGROUP PTAN

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
I20130918000800 VA Practitioner - Clinical Social Worker 6709020449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

1510 N 28TH St
Suite 308
Richmond, VA 23223-5311
Phone (804) 644-1665

2421 Chamberlayne Ave
Richmond, VA 23222-4205
Phone (804) 329-8510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Primary Care LLC CurrentSince Mar 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients
Bon Secours Memorial Regional Medical Center Inc Past Accepting new patients

Locations

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

1510 N 28th St
Ste 101
Richmond, VA 23223
Phone (804) 371-1670

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1780029538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235311",
            "telephone_number": "804-371-1670",
            "fax_number": "804-371-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N 28TH ST",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235311",
            "telephone_number": "804-371-1670",
            "fax_number": "804-371-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERARD",
        "first_name": "REBECCA",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.