Individual provider Active NPI

Rebecca Beth Koenig, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1922447903
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007472 Issued in VA
Practice address
1700 Huguenot Rd
Midlothian, VA 23113-2397
Phone
(804) 304-6447
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 0904007472 VA Primary

Addresses

Primary practice location

1700 Huguenot Rd
Midlothian, VA 23113-2397

Mailing address

5905 Old Buckingham Rd
Powhatan, VA 23139-6630
Phone (804) 304-6447

Other practice location 1

5905 Old Buckingham Rd
Powhatan, VA 23139-6630
Phone (804) 304-6447

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
I20140214001075 VA Practitioner - Clinical Social Worker 4082843024 Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Whole & Compassionate Care CWC PastSince Jun 21, 2020 Accepting new patients
The Meridian Group of Chesterfield PastSince Nov 21, 2022 Accepting new patients

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": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922447903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 OLD BUCKINGHAM RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231396630",
            "telephone_number": "804-304-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HUGUENOT RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132397",
            "telephone_number": "804-304-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5905 Old Buckingham Rd",
            "address_purpose": "LOCATION",
            "city": "Powhatan",
            "state": "VA",
            "postal_code": "231396630",
            "country_code": "US",
            "telephone_number": "804-304-6447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "REBECCA",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.