CHARLES R ADCOCK LCSW
NPI 1083740989
Counselor - Addiction (Substance Use Disorder) in Richmond, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since February 26, 2007PECOS Enrolled

4906 RADFORD AVE, RICHMOND, VA 23230(804) 354-1996(804) 354-5516 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Charles R Adcock Lcsw NPPES

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

CHARLES R ADCOCK LCSW (NPI 1083740989) is an individual addiction (substance use disorder) provider in Richmond, Virginia, licensed in Virginia (0904002513) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083740989

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCHARLES R ADCOCKCredential: LCSW

Location Address4906 RADFORD AVERichmond, VA 23230-3512

Mailing Address4906 Radford AveRichmond, VA 23230-3512 · (804) 354-1996 · Fax (804) 354-5516

Phone(804) 354-1996

Fax(804) 354-5516

Sole ProprietorNo

Enumeration DateFebruary 26, 2007

Last NPPES UpdateMay 29, 2008

✔ NPI 1083740989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in VA · 0904002513

4906 RADFORD AVE, Richmond, VA 23230

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Other Identifiers 10

Other145129VA · Anthem Prov #

Other303526VA · Anthem

Other84904VA · Optima Behavioral Health

Other1019476VA · Cigna Prov #

Other102045VA · Value Option Prov #

Other861112647Ubh

Other168467000VA · Magellan

Other168467000VA · Magellan Mis

OtherN06B91VA · Empire Prov #

Other5608429VA · Aetna Prov #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Charles R Adcock Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2014 through January 3, 2026.

Opt-Out Effective DateJanuary 3, 2014

Opt-Out In Effect ThroughJanuary 3, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.