Active NPI
Cheryl Ann Gray, LCSW
- Clinical Social Worker
- Richmond, VA
National Provider Identifier
1801561253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904012677
- Practice address
- 5310 Markel Rd Ste 102
Richmond, VA 23230-3030 - Phone
- (855) 284-7483
- Fax
- (617) 807-0958
- NPI assigned
- Aug 9, 2021
- Last updated
- Aug 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904012677 | VA | Primary |
Addresses
Primary practice location
5310 Markel Rd Ste 102
Richmond, VA 23230-3030
Mailing address
1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724
Phone (855) 284-7483
Other names 1
- Cheryl Burckart
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904012677 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1801561253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 JEFFERSON ST STE 2C",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245041724",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 MARKEL RD STE 102",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303030",
"telephone_number": "855-284-7483",
"fax_number": "617-807-0958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "CHERYL",
"middle_name": "ANN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-09",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904012677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "BURCKART",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.