ALEXANDRIA WALL LCSW
NPI 1790354074
Social Worker - Clinical in Petersburg, VA
About Alexandria Wall Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXANDRIA WALL LCSW (NPI 1790354074) is an individual clinical provider in Petersburg, Virginia, licensed in Virginia (0904013036) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Alexandria Wall 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexandria Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Henrico, VA 23228
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
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 23805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Alexandria Wall's NPI number?
The NPI number for Alexandria Wall is 1790354074. It was assigned to this individual provider in the NPPES registry on June 22, 2021.
Where is Alexandria Wall located?
Alexandria Wall practices at 350 Poplar Dr, Petersburg, VA 23805. The listed phone number is (804) 733-6874.
What is Alexandria Wall's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Alexandria Wall enrolled in Medicare?
Yes. Alexandria Wall 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.
Which organization bills Medicare for Alexandria Wall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Wall reassigns Medicare benefits to The Mind Health Center, LLC (Henrico, VA). The 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 Alexandria Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexandria Wall accept?
Health plans from Oscar Health list Alexandria Wall 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 Alexandria Wall was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Alexandria Wall, LCSW · NPI 1790354074
Clinical provider in Petersburg, Virginia. Individual provider, active in the CMS NPPES registry since June 22, 2021.
## Identity
- **NPI:** 1790354074 (Entity type: Individual)
- **Enumerated:** June 22, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904013036 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 350 POPLAR DR, Petersburg, VA 23805-9367
- **Phone:** (804) 733-6874
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Mind Health Center, LLC (NPI 1336699461, Henrico, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790354074) · Data from the CMS NPPES public registry.