MS. NICOLE LATRICE DANDRIDGE LCSW
NPI 1407624018
Social Worker - Clinical in Newport News, VA

Q: What is Nicole Dandridge's NPI number?

The NPI number for Nicole Dandridge is 1407624018. It was assigned to this individual provider in the NPPES registry on December 13, 2023.

Q: What is Nicole Dandridge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Dandridge was last updated on December 13, 2023. 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.

Active since December 13, 2023PECOS EnrolledAccepts Medicare Assignment

580 CITY CENTER BLVD STE 5, NEWPORT NEWS, VA 23606(855) 424-3656 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Nicole Latrice Dandridge Lcsw NPPES

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

MS. NICOLE LATRICE DANDRIDGE LCSW (NPI 1407624018) is an individual clinical provider in Newport News, Virginia and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1407624018

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. NICOLE LATRICE DANDRIDGECredential: LCSW

Location Address580 CITY CENTER BLVD STE 5Newport News, VA 23606-1880

Mailing AddressPo Box 7173Hampton, VA 23666-0173 · (757) 598-2369

Phone(855) 424-3656

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 13, 2023

NPPES CertifiedDecember 13, 2023

✔ NPI 1407624018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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.

580 CITY CENTER BLVD STE 5, Newport News, VA 23606

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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

Ms. Nicole Latrice Dandridge 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 ID648760587

PECOS Enrollment IDI20251107003244

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 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.

Other Providers at the Same Location NPPES 10

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

NATALIA CAMERON NP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)