Individual provider Active NPI

Eric Hinesley

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1801264676
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008872 Issued in VA
Practice address
1617 Monument Ave
Suite 202
Richmond, VA 23220-2943
Phone
(434) 409-4263
NPI assigned
Sep 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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 0904008872 VA Primary

Addresses

Primary practice location

1617 Monument Ave
Suite 202
Richmond, VA 23220-2943

Mailing address

1617 Monument Ave
Suite 202
Richmond, VA 23220-2943
Phone (434) 409-4263

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904008872VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Parenting, PC Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1801264676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 MONUMENT AVE",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202943",
            "telephone_number": "434-409-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MONUMENT AVE",
            "address_2": "SUITE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202943",
            "telephone_number": "434-409-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINESLEY",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.