Individual provider Active NPI

Jonathan Goldwire, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1841077989
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015763 Issued in VA
Practice address
1838 Ivystone Dr
Henrico, VA 23238-4232
Phone
(804) 366-2539
NPI assigned
Sep 12, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 0904015763 VA Primary

Addresses

Primary practice location

1838 Ivystone Dr
Henrico, VA 23238-4232

Mailing address

1838 Ivystone Dr
Henrico, VA 23238-4232
Phone (804) 366-2539

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
I20250610003486 VA Practitioner - Clinical Social Worker 2860902632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904015763VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Counseling Richmond PLLC Clinical CurrentSince May 20, 2025 Accepting new patients

Locations

8003 Franklin Farms Dr
Richmond, VA 23229
Phone (804) 716-0428

8003 Franklin Farms Dr
Rm 101
Richmond, VA 23229
Phone (804) 716-0428

8003 Franklin Farms Dr
Rm 131
Richmond, VA 23229
Phone (804) 330-2808

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1841077989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 IVYSTONE DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384232",
            "telephone_number": "804-366-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 IVYSTONE DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232384232",
            "telephone_number": "804-366-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDWIRE",
        "first_name": "JONATHAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.