Individual provider Active NPI

Jeannette Andrea McCain, MSW, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1952154957
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904005296 Issued in VA
Practice address
8310 Midlothian Tpke
North Chesterfield, VA 23235-5163
Phone
(804) 447-6382
Fax
(804) 447-6383
NPI assigned
Apr 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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 0904005296 VA Primary

Addresses

Primary practice location

8310 Midlothian Tpke
North Chesterfield, VA 23235-5163

Mailing address

1019 Amber Meadows PL
Midlothian, VA 23114-1295
Phone (804) 397-5774

Other names 1

  • Mrs. Jeannie Doyle McCain Other name

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
I20240510003434 VA Practitioner - Clinical Social Worker 5890136642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Behavioral Health Center, LLCGroup PAC ID 5092021949, 22 clinicians

Practice addresses (Care Compare)

8310 Midlothian Tpke
North Chesterfield, VA 23235-5163
Phone (804) 447-6382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health Center, LLC Clinical CurrentSince Apr 11, 2024 Accepting new patients

Locations

8310 Midlothian Tpke
North Chesterfield, VA 23235
Phone (804) 447-6382

Organizations & group practices 1

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": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1952154957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 AMBER MEADOWS PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231141295",
            "telephone_number": "804-397-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355163",
            "telephone_number": "804-447-6382",
            "fax_number": "804-447-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "JEANNETTE",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "MCCAIN",
            "middle_name": "DOYLE",
            "prefix": "MRS.",
            "credential": "MSW, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.