Individual provider Active NPI

Eris N Pursley, MSW, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1821100272
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008351 Issued in VA
Practice address
1601 Willow Lawn Dr
Ste 304
Richmond, VA 23230-3423
Phone
(804) 993-4161
Fax
(804) 800-2550
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 0904008351 VA Primary

Addresses

Primary practice location

1601 Willow Lawn Dr
Ste 304
Richmond, VA 23230-3423

Mailing address

1412 Berrymeade Hills CT
Glen Allen, VA 23060-3879
Phone (503) 975-3568

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

LicenseStateTypeSpecialty
0904008351VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1821100272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BERRYMEADE HILLS CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603879",
            "telephone_number": "503-975-3568",
            "fax_number": "804-800-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLOW LAWN DR",
            "address_2": "STE 304",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303423",
            "telephone_number": "804-993-4161",
            "fax_number": "804-800-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSLEY",
        "first_name": "ERIS",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008351",
            "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 Apr 20, 2021; 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.