Individual provider Active NPI

Brittany Rochelle Fisher, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1932686359
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011165 Issued in VA
Practice address
400 Southlake Blvd Ste J1
North Chesterfield, VA 23236-3075
Phone
(804) 986-7526
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2793-05-001 VA
Clinical Social Worker 1041C0700X 0904011165 VA Primary

Addresses

Primary practice location

400 Southlake Blvd Ste J1
North Chesterfield, VA 23236-3075

Mailing address

400 Southlake Blvd Ste J1
North Chesterfield, VA 23236-3075
Phone (804) 986-7526

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
I20211112001178 VA Practitioner - Clinical Social Worker 5991194987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1308 Sherwood Ave
Richmond, VA 23220-1210
Phone (804) 828-3129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904011165VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inara LLC Clinical Current Accepting new patients
MCV Associated Physicians CurrentSince Oct 3, 2021 Accepting new patients
True Counseling Services Inc. Past Accepting new patients

Locations

1308 Sherwood Ave
Richmond, VA 23220
Phone (804) 828-3129

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1932686359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTHLAKE BLVD STE J1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363075",
            "telephone_number": "804-986-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTHLAKE BLVD STE J1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363075",
            "telephone_number": "804-986-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "BRITTANY",
        "middle_name": "ROCHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "2793-05-001",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.