Individual provider Active NPI

Jennifer Lynn Sistrunk, LCSW

  • Clinical Social Worker
  • Midlothian, VA
National Provider Identifier
1932709714
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904007439 Issued in VA
Practice address
2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone
(804) 303-9622
NPI assigned
Oct 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 0904007439 VA Primary

Addresses

Primary practice location

2808 Fox Chase LN
Midlothian, VA 23112-4008

Mailing address

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

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
I20210901003039 VA Practitioner - Clinical Social Worker 6002212974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zoe Therapy Services, LLCGroup PAC ID 2769603901, 31 clinicians

Practice addresses (Care Compare)

2808 Fox Chase LN
Midlothian, VA 23112-4008
Phone (804) 303-9622

4191 Innslake Dr
Suite 211
Glen Allen, VA 23060-3324
Phone 8043039622104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904007439VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Therapy Services, LLC Clinical CurrentSince Aug 15, 2021 Accepting new patients
Zoestyle Medicine Multi-Specialty PastSince Sep 25, 2022 Accepting new patients

Locations

4191 Innslake Dr
Ste 211
Glen Allen, VA 23060
Phone (804) 303-9622

2808 Fox Chase Ln
Midlothian, VA 23112
Phone 8043039622 ext. 104

2201 Libbie Ave
Ste 200
Richmond, VA 23230
Phone (804) 303-9622

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, 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": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1932709714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124008",
            "telephone_number": "804-303-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 FOX CHASE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124008",
            "telephone_number": "804-303-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTRUNK",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.