Individual provider Active NPI

Peter Copeland Walker

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1841869823
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005556 Issued in VA
Practice address
7231 Forest Ave Ste 103
Richmond, VA 23226-3785
Phone
(804) 728-2138
NPI assigned
Jun 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 0904005556 VA Primary

Addresses

Primary practice location

7231 Forest Ave Ste 103
Richmond, VA 23226-3785

Mailing address

7231 Forest Ave Ste 103
Richmond, VA 23226-3785
Phone (804) 728-2138

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL confirmed Health Information Exchange (HIE)

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
I20220505001871 VA Practitioner - Clinical Social Worker 6800283193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Old Towne Counseling Services LLCGroup PAC ID 7618149865, 28 clinicians

Practice addresses (Care Compare)

7489 Right Flank Rd
Suite 330
Mechanicsville, VA 23116-3845
Phone (804) 398-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Old Towne Counseling Services, LLC CurrentSince May 11, 2022 Accepting new patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Jun 27, 2021 Accepting new patients

Locations

7489 Right Flank Rd
Ste 330
Mechanicsvlle, VA 23116

7231 Forest Ave
Ste 103
Richmond, VA 23226
Phone (804) 374-5280

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.peterwalker@134000.advancedmd-direct.com

Organizations & group practices 2

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1841869823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 FOREST AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263785",
            "telephone_number": "804-728-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 FOREST AVE STE 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263785",
            "telephone_number": "804-728-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "PETER",
        "middle_name": "COPELAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "confirmed",
            "affiliation": "N",
            "endpointDescription": "confirmed",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7321 Hermitage Rd",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232284308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.