RHONDA T SPROLES LCSW
NPI 1386656486
Social Worker in Grafton, VA

Q: What is Rhonda Sproles's NPI number?

The NPI number for Rhonda Sproles is 1386656486. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Rhonda Sproles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rhonda Sproles was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

6515 GEORGE WASHINGTON MEM HWY, STE 100, GRAFTON, VA 23692(757) 877-9140(757) 877-3925 Get Directions Write a Review

NPPES record last updated: July 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rhonda T Sproles Lcsw NPPES

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

RHONDA T SPROLES LCSW (NPI 1386656486) is an individual social worker in Grafton, Virginia, licensed in Virginia (0904003287) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1386656486

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameRHONDA T SPROLESCredential: LCSW

Location Address6515 GEORGE WASHINGTON MEM HWY, STE 100Grafton, VA 23692-2182

Mailing Address856 J Clyde Morris Blvd, Ste ANewport News, VA 23601-1318 · (757) 316-5900 · Fax (757) 534-5190

Phone(757) 877-9140

Fax(757) 877-3925

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateAugust 13, 2006

Last NPPES UpdateJuly 14, 2016

✔ NPI 1386656486 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 VA · 0904003287

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.

6515 GEORGE WASHINGTON MEM HWY, Grafton, VA 23692

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Other Identifiers 5

Other403506Value Options

Other257114VA · Anthem

Medicare ID-Type Unspecified800002703VA

Medicare UPINP26330

Medicaid8926263VA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rhonda T Sproles Lcsw 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 ID5193983260

PECOS Enrollment IDI20120221000214

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

119 services63 patients

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

62 services36 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

90.65

Promoting Interoperability

95.83

Improvement Activities

Other Providers at the Same Location NPPES 9

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

LAKESIDE CENTER

Counselor (Professional)

6515 GEORGE WASHINGTON MEM HWY, # 101
YORKTOWN, VA 23692

York County (757) 714-1838

MS. LAURA LEE BRONSTEIN LCSW

Social Worker (Clinical)

6515 GEORGE WASHINGTON MEM HWY, SUITE 100
YORKTOWN, VA 23692

York County (757) 877-9140

MORGAN MAHARTY OD

Optometrist

6515 GEORGE WASHINGTON MEM HWY
YORKTOWN, VA 23692

York County (757) 707-8057

KATHERINE MARIE ILLGEN LCSW, CCTP

Social Worker (Clinical)

6515 GEORGE WASHINGTON MEM HWY
YORKTOWN, VA 23692

York County (757) 877-9140

HAMPTON ROADS COUNSELING SERVICES INC

Social Worker (Clinical)

6515 GEORGE WASHINGTON MEM HWY, STE 100
YORKTOWN, VA 23692

York County (757) 651-0605

CATHERINE D SMITHSON LCSW

Social Worker

6515 GEORGE WASHINGTON MEM HWY, STE 100
GRAFTON, VA 23692

York County (757) 877-9140

ZOE INC.

Optometrist

6515 GEORGE WASHINGTON MEM HWY, SUITE 102
YORKTOWN, VA 23692

York County (757) 875-0675

MICHELE L BALDWIN LCSW

Social Worker

6515 GEORGE WASHINGTON MEM HWY, STE 100
GRAFTON, VA 23692

York County (757) 877-9140

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 Rhonda Sproles's NPI number?

The NPI number for Rhonda Sproles is 1386656486. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Rhonda Sproles located?

Rhonda Sproles practices at 6515 George Washington Mem Hwy Ste 100, Grafton, VA 23692. The listed phone number is (757) 877-9140.

What is Rhonda Sproles's specialty?

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

Is Rhonda Sproles enrolled in Medicare?

Yes. Rhonda Sproles 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.

What insurance does Rhonda Sproles accept?

Health plans from Providence Health Plan list Rhonda Sproles 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 Rhonda Sproles was last updated on July 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.