Individual provider Active NPI

Anjelica Jade Davey Mendola, LCSW

  • Clinical Social Worker
  • Lexington, VA
National Provider Identifier
1992592463
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904018292 Issued in VA
Practice address
241 Greenhouse Rd
Lexington, VA 24450-3717
Phone
(540) 463-3141
NPI assigned
Apr 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 Worker 1041C0700X 0904018292 VA Primary

Addresses

Primary practice location

241 Greenhouse Rd
Lexington, VA 24450-3717

Mailing address

191 Moores School LN
Lexington, VA 24450-5930
Phone (757) 323-5649

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
I20250613000438 VA Practitioner - Clinical Social Worker 6305357716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockbridge Area Community Services BoardGroup PAC ID 8729067665, 7 clinicians

Practice addresses (Care Compare)

241 Greenhouse Rd
Lexington, VA 24450-3717
Phone (540) 463-3141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockbridge Area Community Services Board CurrentSince Apr 14, 2025 Accepting new patients

Locations

241 Greenhouse Rd
Lexington, VA 24450
Phone (540) 463-3141

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1992592463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 MOORES SCHOOL LN",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244505930",
            "telephone_number": "757-323-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GREENHOUSE RD",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503717",
            "telephone_number": "540-463-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOLA",
        "first_name": "ANJELICA",
        "middle_name": "JADE DAVEY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, VA

Sources for this page

Verify at the official NPI Registry.