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MELISSA SUE PROCTOR LCSW
NPI 1336188655
Social Worker - Clinical in Richmond, VA

Active since June 05, 2006Opted out of Medicare · through Sep 25, 2026
8804 PATTERSON AVE, RICHMOND, VA 23229(804) 592-6311 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, May 24, 2019 (2 updates tracked since 2019).

About Melissa Sue Proctor Lcsw NPPES

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

MELISSA SUE PROCTOR LCSW (NPI 1336188655) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904015618) and active in the NPI registry since June 2006. She has opted out of Medicare through September 25, 2026.

NPPES Registry Identity

NPI1336188655
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELISSA SUE PROCTORCredential: LCSW
Location Address8804 PATTERSON AVERichmond, VA 23229-6361
Mailing Address815 Porter St Apt 308Richmond, VA 23224-2272 · (619) 929-4921
Phone(804) 592-6311
Sole ProprietorYes
Enumeration DateJune 5, 2006
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1336188655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in VA · 0904015618✔ Licensed in CA · 62650
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 4948 (KY)
8804 PATTERSON AVE, Richmond, VA 23229
Open in Google Maps ↗

Other Identifiers 3

Other62650CA · Board Of Behavioral Sciences
Medicaid1336188655KY
Other0904015618VA · Commonwealth Of Virginia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melissa Sue Proctor 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 September 25, 2024 through September 25, 2026.

Opt-Out Effective DateSeptember 25, 2024
Opt-Out In Effect ThroughSeptember 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH VAN GORDER
Counselor (Mental Health)
8804 PATTERSON AVE
RICHMOND, VA 23229
Henrico County (804) 592-6311
CUONG VAN TO DDS
Dentist (General Practice)
8804 PATTERSON AVE
HENRICO, VA 23229
Henrico County (804) 740-7212
MORGAN ELIZABETH ALEXANDER
Counselor (Professional)
8804 PATTERSON AVE
RICHMOND, VA 23229
Henrico County (804) 592-6311
ASHLEY AZUBUIKE
Counselor (Professional)
8804 PATTERSON AVE
RICHMOND, VA 23229
Henrico County (804) 592-6311
DR. SHARI LYNETTE BALL DDS
Dentist (General Practice)
8804 PATTERSON AVE, SUITE 100
RICHMOND, VA 23229
Henrico County (804) 740-7212
VIRGINIA DENTAL SLEEP SOLUTIONS, LLC
Dentist (General Practice)
8804 PATTERSON AVE, SUITE 100
RICHMOND, VA 23229
Henrico County (804) 972-0468
KOMALPREET KAUR
Nurse Practitioner (Psychiatric/Mental Health)
8804 PATTERSON AVE
RICHMOND, VA 23229
Henrico County (804) 592-6311
BLANCA MARIA BARRERA MORALES LCSW
Social Worker (Clinical)
8804 PATTERSON AVE
RICHMOND, VA 23229
Henrico County (804) 592-6311

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 Melissa Proctor's NPI number?

The NPI number for Melissa Proctor is 1336188655. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Melissa Proctor located?

Melissa Proctor practices at 8804 Patterson Ave, Richmond, VA 23229. The listed phone number is (804) 592-6311.

What is Melissa Proctor's specialty?

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

Is Melissa Proctor enrolled in Medicare?

No. Melissa Proctor has opted out of Medicare through September 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Melissa Proctor was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.