Healthcare Provider Details

I. General information

NPI: 1144148347
Provider Name (Legal Business Name): ALYSSA CLAIRE MCGINNIS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 OLD BUCKINGHAM RD
POWHATAN VA
23139-5757
US

IV. Provider business mailing address

PO BOX 2642
GLEN ALLEN VA
23058-2642
US

V. Phone/Fax

Practice location:
  • Phone: 804-598-2200
  • Fax: 804-598-3114
Mailing address:
  • Phone: 804-510-4664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: