Individual provider Active NPI

Maranda Christine Buchta

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1861137317
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013942 Issued in VA
Practice address
6200 Lakeside Ave
Richmond, VA 23228-5248
Phone
(804) 307-2801
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 0904013942 VA Primary

Addresses

Primary practice location

6200 Lakeside Ave
Richmond, VA 23228-5248

Mailing address

2237 Three Bridge Rd
Powhatan, VA 23139-4419
Phone (908) 499-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 18, 2024 through Sep 18, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0904013942VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart and Mind Therapy Services CurrentSince Jun 11, 2026 Accepting new patients

Locations

6200 Lakeside Ave
Richmond, VA 23228
Phone (804) 307-2801

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1861137317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 THREE BRIDGE RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231394419",
            "telephone_number": "908-499-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LAKESIDE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285248",
            "telephone_number": "804-307-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHTA",
        "first_name": "MARANDA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.