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

Alexandria Wall, LCSW

Individual provider Clinical Social Worker · NPI 1790354074

Alexandria Wall, LCSW is a Clinical Social Worker in Petersburg, Virginia. Qualified in 2015, 11 years ago. Practices with The Mind Health Center LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
11
Licensed in
VA
In the registry since
2021
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

350 Poplar Dr
Petersburg, VA 23805-9367
Phone: (804) 733-6874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904013036 (VA)

Record details

NPI number1790354074
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Mind Health Center Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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