Individual provider Active NPI

Catherine Elizabeth Medina, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1801083100
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006853 Issued in VA
Practice address
6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone
(804) 743-0960
Fax
(804) 396-2195
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 0904006853 VA Primary

Addresses

Primary practice location

6603 Irongate SQ
North Chesterfield, VA 23234-6081

Mailing address

6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone (804) 743-0960

Other identifiers 1

IdentifierTypeStateIssuer
004945018MedicaidVA

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
I20081021000630 VA Practitioner - Clinical Social Worker 3375601248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

11520 Nuckols Rd
Suite 102
Glen Allen, VA 23059-2558
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Familywork PLC Clinical CurrentSince Nov 21, 2022 Accepting new patients
Chesterfield Family Guidance Center Clinical CurrentSince Aug 17, 2023 Accepting new patients

Locations

9401 Courthouse Rd
Ste 206
Chesterfield, VA 23832
Phone (804) 751-0648

11520 Nuckols Rd
Ste 102
Glen Allen, VA 23059
Phone (434) 953-3664

6603 Irongate Sq
North Chesterfield, VA 23234

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.catherinemedina@134000.advancedmd-direct.com

Organizations & group practices 2

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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1801083100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 IRONGATE SQ",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346081",
            "telephone_number": "804-743-0960",
            "fax_number": "804-396-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 IRONGATE SQ",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346081",
            "telephone_number": "804-743-0960",
            "fax_number": "804-396-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945018",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.