ANTOINETTE PAYNE (LCSW) – Clinical Social Worker, NPI 1134637341
Clinical Social Worker
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,023 CLINICAL SOCIAL WORKER in VA
Provider Addresses for ANTOINETTE PAYNE (LCSW)
6523 Main St
Gloucester, VA 230616132
Phone: (757) 253-0111
Fax: (757) 253-2884
Type: Location
5700 Warhill Trl
Williamsburg, VA 231889419
Phone: (757) 912-2726
Fax: (757) 808-5585
Type: Location
704 Thimble Shoals Blvd
Newport News, VA 236064544
Phone: (757) 508-6384
Type: Location
Bacon Street Marriage & Family Therapist, 247, McLaws Circle, Williamsburg, James City County, Virginia, 23185, United States
WILLIAMSBURG, VA 231855660
Phone: (757) 253-0111
Fax: (757) 253-2884
Type: Mailing
6523, Main Street, Gloucester, Gloucester Courthouse, Gloucester County, Virginia, 23061, United States
GLOUCESTER, VA 230616132
Phone: (757) 253-0111
Fax: (757) 253-2884
Type: Location
1657 MERRIMAC TRL
WILLIAMSBURG, VA 231855624
Phone: (757) 220-3200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190220001395 | I | Clinical Social Worker | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23061)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | VA | |
| Nurse Practitioner | VA | |
| Clinical Social Worker | VA | |
| P S Y C H I A T R Y | VA | |
| Clinical Social Worker | VA | |
| - | VA | |
| Clinical Social Worker | VA | |
| Nurse Practitioner | VA | |
| Mental Health Counselor | VA | |
| Clinical Social Worker | VA |
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