Active NPI
Dorothy Panissidi, LCSW
- Mental Health Counselor
- Franklin, VA
National Provider Identifier
1790861367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 08416001
- Practice address
- 232 Woodland Dr
Franklin, VA 23851-2339 - Phone
- (757) 237-9377
- NPI assigned
- Oct 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 08416001 | VA | Primary |
Addresses
Primary practice location
232 Woodland Dr
Franklin, VA 23851-2339
Mailing address
232 Woodland Dr
Franklin, VA 23851-2339
Phone (757) 237-9377
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382811 | Other | VA | TRIGON |
| 382812 | Other | VA | TRIGON |
| 008929751 | Medicaid | VA | |
| 146823 | Other | VA | TRIGON |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08416001 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapman Senior Care, Inc. | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Richmond, VA
- NPI 1669439691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1790861367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 WOODLAND DR",
"city": "FRANKLIN",
"state": "VA",
"postal_code": "238512339",
"telephone_number": "757-237-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 WOODLAND DR",
"city": "FRANKLIN",
"state": "VA",
"postal_code": "238512339",
"telephone_number": "757-237-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANISSIDI",
"first_name": "DOROTHY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "08416001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON",
"identifier": "382811",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON",
"identifier": "382812",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008929751",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIGON",
"identifier": "146823",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.