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EMILY ANN THEISEN LICSW
NPI 1063995389
Social Worker in Bumpass, VA

Active since September 12, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, Oct 12, 2023, Sep 12, 2018 (3 updates tracked since 2018).

About Emily Ann Theisen Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMILY ANN THEISEN LICSW (NPI 1063995389) is an individual social worker in Bumpass, Virginia, licensed in Massachusetts (113183) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063995389
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameEMILY ANN THEISENCredential: LICSW
Location Address35 POOH CTBumpass, VA 23024-4955
Mailing Address35 Pooh CtBumpass, VA 23024-4955 · (978) 430-8127
Phone(978) 430-8127
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 12, 2018
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1063995389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MA · 113183
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
35 POOH CT, Bumpass, VA 23024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Ann Theisen Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608222690
PECOS Enrollment IDI20250116002294
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Theisen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifebulb LLC
233 mi
Mental Health
505 MAIN ST
Toms River, NJ 08753
  • Reassigned Medicare billing, Virginia enrollment
  • 71 clinicians in this Medicare group
NPI 1699491464 (434) 944-7565
Midwest Post Acute Care PLLC
589 mi
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group
NPI 1083012074 (888) 705-8722

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emily Theisen's NPI number?

The NPI number for Emily Theisen is 1063995389. It was assigned to this individual provider in the NPPES registry on September 12, 2018.

Where is Emily Theisen located?

Emily Theisen practices at 35 Pooh Ct, Bumpass, VA 23024. The listed phone number is (978) 430-8127.

What is Emily Theisen's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Emily Theisen enrolled in Medicare?

Yes. Emily Theisen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Emily Theisen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Theisen reassigns Medicare benefits to 2 organizations: Lifebulb LLC (Toms River, NJ) and Midwest Post Acute Care PLLC (Chicago, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Theisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Theisen accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and MedMutual list Emily Theisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Theisen was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.