Individual provider Active NPI

Hannah J Clevenger, LCSW, CAADC

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1780279596
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904012488 Issued in VA
Practice address
204 N Hamilton St Ste B
Richmond, VA 23221-2662
Phone
(804) 353-1230
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2932 VA
Clinical Social Worker 1041C0700X 0904012488 VA Primary

Addresses

Primary practice location

204 N Hamilton St Ste B
Richmond, VA 23221-2662

Mailing address

204 N Hamilton St Ste B
Richmond, VA 23221-2662
Phone (804) 353-1230

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
I20210427001046 VA Practitioner - Clinical Social Worker 0840608139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2932VAMDAddiction (Substance Use Disorder) Counselor
0904012488VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Area Mental Heatlh and Developmental Services CurrentSince Feb 6, 2025 Accepting new patients

Locations

10299 Woodman Rd
Glen Allen, VA 23060
Phone (804) 261-8571

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1780279596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N HAMILTON ST STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212662",
            "telephone_number": "804-353-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N HAMILTON ST STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212662",
            "telephone_number": "804-353-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVENGER",
        "first_name": "HANNAH",
        "middle_name": "J",
        "credential": "LCSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "2932",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.