Individual provider Active NPI

Cristina Daniels

  • Clinical Social Worker
  • Richmond, VA
National Provider Identifier
1881227775
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011491 Issued in VA
Practice address
5014 Monument Ave
Richmond, VA 23230-3620
Phone
(804) 836-9547
NPI assigned
Feb 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 0904011491 VA Primary

Addresses

Primary practice location

5014 Monument Ave
Richmond, VA 23230-3620

Mailing address

5014 Monument Ave
Richmond, VA 23230-3620
Phone (804) 836-9547

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
I20200717002129 VA Practitioner - Clinical Social Worker 4981028388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

11520 Nuckols Rd
Suite 102
Glen Allen, VA 23059-2558
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Clinical CurrentSince Jun 11, 2024 Accepting new patients
National Counseling Group, Inc CurrentSince May 28, 2020 Accepting new patients
Resilience Counseling & Social Skills Center LLC Clinical CurrentSince Nov 12, 2023 Accepting new patients

Locations

1135 Heatherstone Dr
Fredericksburg, VA 22407
Phone (540) 699-0226

5374 Twin Hickory Rd
Glen Allen, VA 23059
Phone 5406990226 ext. 156

11520 Nuckols Rd
Ste 102
Glen Allen, VA 23059
Phone (434) 953-3664

6524 Woodlake Village Cir
Midlothian, VA 23112
Phone (540) 699-0226

6603 Irongate Sq
North Chesterfield, VA 23234

5014 Monument Ave
Richmond, VA 23230
Phone (804) 497-4676

3922 Electric Rd
Ste 200
Roanoke, VA 24018
Phone (540) 776-0716

Organizations & group practices 3

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": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1881227775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 MONUMENT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303620",
            "telephone_number": "804-836-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 MONUMENT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303620",
            "telephone_number": "804-836-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.