LYNN EVANS PIERSALL – Clinical Social Worker, NPI 1265978456

LYNN EVANS PIERSALL is a healthcare provider. based in Portsmouth, Virginia. specializing in CLINICAL SOCIAL WORKER. They hold a License No. C012107 (NC). The NPI Number for LYNN EVANS PIERSALL is 1265978456

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
LYNN EVANS PIERSALL
NPI
1265978456
Phone
(757) 692-5023
Address
4416 DUKE DR
Enumeration Date
11 January 2017
Last Update Date
4 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2529401611
Graduation Year
2016 (10 years ago)
PAC ID
3577804426
Group Practice PAC ID
6608105408
Professional Enrollment ID
I20210721000925
Address ID
VA233142325CA15221BLVD303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,023 CLINICAL SOCIAL WORKER in VA

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Provider Addresses for LYNN EVANS PIERSALL

  • 4416, Duke Drive, Green Acres, Portsmouth, Virginia, 23703, United States

    PORTSMOUTH, VA 237034915

    Phone: (757) 692-5023

    Type: Mailing

  • 15221 CARROLLTON BLVD

    STE 207208

    CARROLLTON, VA 233142303

    Phone: (252) 623-2736

    Type: Mailing

  • 100 E MAIN ST

    WASHINGTON, NC 278894928

    Phone: (252) 940-1611

    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: 2021-07-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190403000996IClinical Social WorkerNCTBD
I20210721000925IClinical Social WorkerVATBD

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.

Verify on CMS Revalidation Lookup Tool

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 23703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608105408View full group profile
NameSpecialtyState
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What is the standard ID for LYNN EVANS PIERSALL in the U.S.?
In the U.S., LYNN EVANS PIERSALL is identified by NPI 1265978456.
Is LYNN EVANS PIERSALL currently accepting referrals based on NPI status?
Registry metadata lists LYNN EVANS PIERSALL as active.
What services align with LYNN EVANS PIERSALL's listing?
LYNN EVANS PIERSALL's public classification highlights Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is LYNN EVANS PIERSALL tied to Portsmouth, Virginia?
If you are local to Portsmouth, Virginia, LYNN EVANS PIERSALL may be relevant to your search.
Can I export LYNN EVANS PIERSALL's record?
You can download the official NPPES record; we summarize key fields for readability.

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