Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Faith Shadbolt, LCSW

Individual provider Clinical Social Worker · NPI 1457091415

Alyssa Faith Shadbolt, LCSW is a Clinical Social Worker in Powhatan, Virginia. Qualified in 2018, 8 years ago. Practices with Commonwealth Counseling Associates Inc, a 200-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
8
Licensed in
VA
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3910 Old Buckingham Rd
Powhatan, VA 23139-5757
Phone: (804) 464-8803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904013859 (VA)

Record details

NPI number1457091415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Commonwealth Counseling Associates Inc — 200 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients11
Services billed 55 a service is one billed item, such as a visit, a test or a procedure
Average patient age66

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Commonwealth Counseling Associates Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 200 clinicians in the practice; 12 are shown here.

Other providers in Powhatan