Teresa Poole, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904004697 Issued in VA

Practice address

1403 Pemberton Rd Ste 306
Richmond, VA 23238-4474

Phone

(804) 741-7500

Fax

(804) 741-7900

NPI assigned

Jul 28, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891709473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 PEMBERTON RD STE 306",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384474",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 PEMBERTON RD STE 306",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384474",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "TERESA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "194098",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ponos Medical Care New Jersey, PC
• Ponos MGMT LLC
• Zcharvay Ponton-Bey, M.ED, BCBA, LBA
• Cathryn Depue Poole, OTA
• Khidhra Smith Poole, LCSW
• John Henry Pope Jr., MD
• Rachel Arlene Pope, LIFE COACH
• Stephen John Popovich, MD
• Christine Johnson Popp, M.S., CCC-SLP
• Wendy Lee Popp, M.S.,P.T

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.