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ALEXANDRIA WALL LCSW
NPI 1790354074
Social Worker - Clinical in Petersburg, VA

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment
350 POPLAR DR, PETERSBURG, VA 23805(804) 733-6874 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1790354074
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDRIA WALLCredential: LCSW
Location Address350 POPLAR DRPetersburg, VA 23805-9367
Mailing Address320 Moorman AveColonial Heights, VA 23834-3130 · (804) 896-1767
Phone(804) 733-6874
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1790354074 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 · 0904013036
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.
350 POPLAR DR, Petersburg, VA 23805
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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

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.

PECOS PAC ID6507264934
PECOS Enrollment IDI20211014002597
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 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.

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 20

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

MS. KAYLA LYNN FARNHAM CTRS
Recreation Therapist
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
ALEXANDREA J JACKSON LPC
Counselor (Professional)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
STEPHEN L MURPHY LCSW
Social Worker (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
JOHN SALAY
Social Worker (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
EBONY GLYNN WALKER LPC
Counselor (Professional)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
HHC POPLAR SPRINGS LLC.
Psychiatric Hospital
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
JERI COX
Counselor (Professional)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874
MARK MURPHY
Social Worker (Clinical)
350 POPLAR DR
PETERSBURG, VA 23805
Petersburg City (804) 733-6874

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.

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.