Individual provider Active NPI

Adonice D'Atre, MSW, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1841542644
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004038 Issued in VA
Practice address
2 Boars Head LN Ste 140
Charlottesville, VA 22903-4605
Phone
(434) 260-2454
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 0904004038 VA Primary

Addresses

Primary practice location

2 Boars Head LN Ste 140
Charlottesville, VA 22903-4605

Mailing address

PO Box 54
Ivy, VA 22945-0054
Phone (434) 260-2454

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
I20201130001452 VA Practitioner - Clinical Social Worker 5092126854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Duke University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2 Boars Head LN
Suite 140
Charlottesville, VA 22903-4605
Phone (434) 260-2454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904004038VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Counseling and Wellness LLC Clinical CurrentSince Jan 1, 2021 Accepting new patients

Locations

2 Boars Head Ln
Ste 140
Charlottesville, VA 22903
Phone (434) 260-2454

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": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1841542644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "IVY",
            "state": "VA",
            "postal_code": "229450054",
            "telephone_number": "434-260-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BOARS HEAD LN STE 140",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034605",
            "telephone_number": "434-260-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ATRE",
        "first_name": "ADONICE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.