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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALLISON MIDDLETON
NPI 1215522552
Social Worker - Clinical in Powhatan, VA

Active since March 09, 2021PECOS Enrolled
3612 BOLLING RD, POWHATAN, VA 23139(804) 921-5270 Get Directions Write a Review

NPPES record last updated: October 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2026, Feb 21, 2023, Mar 9, 2021 (3 updates tracked since 2021).

About Allison Middleton NPPES

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

ALLISON MIDDLETON (NPI 1215522552) is an individual clinical provider in Powhatan, Virginia, licensed in Virginia (0904012694) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215522552
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALLISON MIDDLETON
Location Address3612 BOLLING RDPowhatan, VA 23139-4013
Mailing Address3612 Bolling RdPowhatan, VA 23139-4013 · (804) 921-5270
Phone(804) 921-5270
Sole ProprietorYes
Enumeration DateMarch 9, 2021
Last NPPES UpdateOctober 10, 20263 updates tracked since enumeration
NPPES CertifiedOctober 10, 2026
✔ NPI 1215522552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VA · 0904012694
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3612 BOLLING RD, Powhatan, VA 23139
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Middleton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Allison Middleton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Goochland Powhatan Community Services
3.8 mi
Mental Health (Including Community Mental Health Center)
3058 RIVER RD W
Goochland, VA 23063
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group
NPI 1467448571 (804) 556-5400
Chesterfield Family Guidance Center
27 mi
Clinical
6603 IRONGATE SQUARE
Richmond, VA 23234
  • Reassigned Medicare billing, Virginia enrollment
  • 83 clinicians in this Medicare group
NPI 1225192909 (804) 743-0960

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Allison Middleton's NPI number?

The NPI number for Allison Middleton is 1215522552. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Where is Allison Middleton located?

Allison Middleton practices at 3612 Bolling Rd, Powhatan, VA 23139. The listed phone number is (804) 921-5270.

What is Allison Middleton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Allison Middleton enrolled in Medicare?

Yes. Allison Middleton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Allison Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allison Middleton reassigns Medicare benefits to 2 organizations: Goochland Powhatan Community Services (Goochland, VA) and Chesterfield Family Guidance Center (Richmond, VA). 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 Allison Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allison Middleton accept?

Health plans from Oscar Health list Allison Middleton 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 Allison Middleton was last updated on October 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.