Janie M. Mantooth, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904003979 Issued in VA

Practice address

1020 Turkey Mountain Rd
Bedford, VA 24523-6635

Phone

(540) 586-8146

Fax

(540) 587-7647

NPI assigned

Jan 23, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Complete Counseling Serivces, Inc.

  dba Janie Mantooth LCSW Counseling

  • Clinical Social Worker
  • Bedford, VA
  • NPI 1174627376
  Authorized official Same address or phone
• Patrick Henry Boys and Girls Plantation

  dba Hope for Tomorrow Counseling

  • Clinical Social Worker
  • Lynchburg, VA
  • NPI 1255727517
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1003093915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245230628",
            "telephone_number": "540-586-8146",
            "fax_number": "540-587-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TURKEY MOUNTAIN RD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245236635",
            "telephone_number": "540-586-8146",
            "fax_number": "540-587-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTOOTH",
        "first_name": "JANIE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "010219779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "183482",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "338400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010219779",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH CORP",
            "identifier": "233212",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7664336",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer B Lucia, CCC-SLP
• Lutheran Family Services of VA
• Paul G Malone, PA-C
• Faith Manning
• Elizabeth McSherry Mansel
• Mary Kate Manuel, COTA/L
• Kara L Matala, D.O.
• Daniel W McLaughlin, MD
• Delaney Meghan McMann, DC
• Clair Lea McStacy, C.N.M

• Clinical Social Worker in Bedford, VA
• Providers in Bedford, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.