Ashley Nicole Waddell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1205 Boulevard Unit 1034
Colonial Heights, VA 23834-1279

Phone

(757) 714-4846

NPI assigned

Jan 29, 2018

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment NPD
• Wholistic Alignment Therapeutic Wellness Center, LLC

  • Clinical Social Worker
  • Colonial Heights, VA
  • NPI 1972116432
  NPD Authorized official
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1962900621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 BOULEVARD UNIT 1034",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341279",
            "telephone_number": "757-714-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BOULEVARD UNIT 1034",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341279",
            "telephone_number": "757-714-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Medical Group PC
• Virginia Medical Group Sleep Center, LLC
• Virginia Medical Group, PC
• Virginia Surgical Care Center PC
• Virginia Vision Associates, LLC
• Waitkus & Associates, P.C.
• Pamela Ann Waitkus, LPC LMFT
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1424)
• Wal-Mart Stores East, LP (Vision Center 30-1424)
• Walgreen Co (Walgreens #04921)

• Clinical Social Worker in Colonial Heights, VA
• Providers in Colonial Heights, 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 Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.