William Datta, LCSW in Richmond, VA - Medicare Social Worker Provider

William Datta, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Virginia. His current practice location is 3900 W Broad St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 353-4461.

William Datta is licensed to practice in Virginia (license number 0904011300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912548538.

Contact Information

	William Datta, LCSW
	3900 W Broad St, Richmond, VA 23230-3914
	(804) 353-4461
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	William Datta
Gender	Male
Speciality	Social Worker - Clinical
Location	3900 W Broad St, Richmond, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912548538
Provider Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019

Medicare PECOS Information:

PECOS PAC ID: 5092165258
Enrollment ID: I20231229001889

Medical Identifiers

Medical identifiers for William Datta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912548538	NPI	-	NPPES
0904011300	Other	VI	LCSW

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904011300 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William Datta allows following entities to bill medicare on his behalf.

Entity Name	Resilience Counseling & Social Skills Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245724707 PECOS PAC ID: 4082088570 Enrollment ID: O20230323003305

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Datta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
William Datta, LCSW 3900 W Broad St, Richmond, VA 23230-3914 Ph: (804) 353-4461	William Datta, LCSW 3900 W Broad St, Richmond, VA 23230-3914 Ph: (804) 353-4461

Reviews and Comments

Social Worker in Richmond, VA

Mr. J. Patrick Slifka, LCSW, CAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5002 Monument Avenue Suite 201, Richmond, VA 23230 Phone: 804-497-4676 Fax: 804-497-4677
Mrs. Hope L. Helton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 720 Moorefield Park Dr, Suite 202, Richmond, VA 23236 Phone: 804-272-7611 Fax: 804-560-5574
Kristi Difilippo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9515 Catesby Ln, Richmond, VA 23238 Phone: 804-741-7500 Fax: 804-741-7900
Richara Shepperson-turner, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 301 N Ninth St, Richmond, VA 23219 Phone: 804-780-7312
Sarah Metz, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3900 W Broad St, Richmond, VA 23230 Phone: 804-353-4461
Melissa-irene Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2219 W Main St, Richmond, VA 23220 Phone: 804-234-3158
Kimberly Embe-mamong, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 E Laburnum Ave Ste 3, Richmond, VA 23222 Phone: 804-277-9892

William Datta, LCSW - Medicare Clinical Social Worker in Richmond, VA