Individual provider Active NPI

Jesse Pearlstein, LCSW

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1831636950
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904009766 Issued in VA
Practice address
3321 Patterson Ave
Apt 5
Richmond, VA 23221-2364
Phone
(434) 906-5299
NPI assigned
Jan 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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 0904009766 VA Primary

Addresses

Primary practice location

3321 Patterson Ave
Apt 5
Richmond, VA 23221-2364

Mailing address

5408 Chamberlayne Rd
Richmond, VA 23227-2407
Phone (804) 272-2000

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
I20170526000466 VA Practitioner - Clinical Social Worker 6608143474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5821 Staples Mill Rd
Henrico, VA 23228-5427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904009766VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Pearlstein LLC CurrentSince Jan 16, 2020 Accepting new patients

Locations

5821 Staples Mill Rd
Ste 23228
Richmond, VA 23228

5821 Staples Mill Rd
Richmond, VA 23228
Phone (804) 221-6682

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": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1831636950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 CHAMBERLAYNE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272407",
            "telephone_number": "804-272-2000",
            "fax_number": "804-272-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 PATTERSON AVE",
            "address_2": "APT 5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212364",
            "telephone_number": "434-906-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARLSTEIN",
        "first_name": "JESSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.