JENNIFER LYNN SISTRUNK LCSW - NPI 1932709714 - Social Worker in Midlothian, VA

Q: What is Jennifer Sistrunk's NPI number?

The NPI number for Jennifer Sistrunk is 1932709714. It was assigned to this individual provider in the NPPES registry on October 29, 2020.

Q: What is Jennifer Sistrunk'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 Jennifer Sistrunk was last updated on December 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jennifer Lynn Sistrunk Lcsw NPPES

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

JENNIFER LYNN SISTRUNK LCSW (NPI 1932709714) is an individual clinical provider in Midlothian, Virginia, licensed in Virginia (0904007439) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1932709714

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJENNIFER LYNN SISTRUNKCredential: LCSW

Location Address2808 FOX CHASE LNMidlothian, VA 23112-4008

Mailing Address2808 Fox Chase LnMidlothian, VA 23112-4008 · (804) 303-9622

Phone(804) 303-9622

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 29, 2020

Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1932709714 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 · 0904007439

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.

2808 FOX CHASE LN, Midlothian, VA 23112

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Jennifer Lynn Sistrunk 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 ID6002212974

PECOS Enrollment IDI20210901003039

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 23112 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.

JONATHAN FIELDER PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)