Janice B. Hairston, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006223 Issued in VA

Legal business name

JANICE B. HAIRSTON, LCSW, LLC

Practice address

400 Turner Rd
Ste 5
Richmond, VA 23225-6420

Phone

(804) 233-3300

Fax

(804) 275-0480

NPI assigned

Mar 17, 2009

Last updated

Mar 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Janice Bernadette Hairston, LCSWNPI 1538102967

Title

Owner/Provider

Phone

(804) 233-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Bernadette Hairston, LCSW

  • Clinical Social Worker
  • Chesterfield, VA
  • NPI 1538102967
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1790926020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 S MELBECK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232345279",
            "telephone_number": "804-233-3300",
            "fax_number": "804-275-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TURNER RD",
            "address_2": "STE 5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232256420",
            "telephone_number": "804-233-3300",
            "fax_number": "804-275-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANICE B. HAIRSTON, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "804-233-3300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Jamrozy
• Jan Phillips Enterprise LLC (Humanities for Hospice)
• Shruthi Janardhanan, M.D.
• Jane P. Kallio, LCSW, LLC
• Jane Wilson, LLC
• Milissa Lynn Janisko, R.D.
• Lazar Jankovic, MD
• Daniel M Jannuzzi, MD
• Julie Elizabeth Janson, OT
• Merica R Janson, RD

• 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 Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.